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� p L "' l 1✓y o�vv <br /> Batch No ' <br /> HYDR <br /> EN V IR MENTAL Chain of Custody CA PO-2089 <br /> TECHN OGIES, INC. <br /> 2394 Mariner Square Drive, Suite 2, Alameda,CA 94501 Page °f <br /> 4 <br /> 510-521-2684(voice) 510-521-5078(fax) Date 7// 13 12000 <br /> Lab Name TECs Analysis Request <br /> Address 11350 Monier Park Place <br /> Rancho Cordova, CA 95742 <br /> Yi o <br /> ql m 00 $ 00 N y 0 C <br /> Telephone 916-853-8010 = N E <br /> oo E <br /> S piers(Signa R a <br /> a s > < U ° <br /> Sample Number Matrix Lotion > > > y a a a a 1= x a <br /> 1 0007 )3 v �45 soil B-2 /o feet) { <br /> 2 0007 �3 0� i o soil B-2 (5 feet) r <br /> 3 0007 13 0 3 -7�-p soil B-2 ( 2U feet <br /> 4 0007 13 a $-qD soil B-2 (a feet <br /> 5 0007 iS 0 `f pa soil B-2 30 feet l <br /> 6 0007 13 0 q 5'0 soil B-2 46 feet <br /> 7 490 b --2 C feet) <br /> g 0007 soil B-2 feet <br /> s 0007 soil B-2 feet <br /> io 0007 soil B-2 ( feet) <br /> Relwgmshed/B�y 1 Rebiiquished By 2 Relinquished By 3. <br /> Project Information Sample Receipt <br /> Project Name Central CA Traction Co � 7 Total No of Containers /j, 1 2 i 1' <br /> -1 <br /> Chain of Castody Seals (Stgnetme) (Time)(Si ria ) (rim)(Stgaatare) (time} <br /> Prosed Manager Avakian C J'b11 Uk( L(A1J r''1 S <br /> ob No Rec d Good Cond]oon/Cold (Printed Name) (Date)(Plaine) (Date)(Printed Name) ( ) <br /> 007-346 11f <br /> conorms to Record (C P-Y) Pay) ` (Company} <br /> SShipping!D Na f <br /> !Bb No Received By 1 Received By 2 Received By (Laboratory) 3 <br /> Hand <br /> a 0 <br /> Special Instructions/Comments (s:goes ) <br /> (Time){Stgnaw�e) (time)(Signature} (1im) <br /> (Printed Name) (pate)(Printed Name) i ALUM)(Printed Nam:) ) <br /> Standard Turn Around Time ,p. L 18�00 <br /> {Company) cc—parry) (C aboramry) <br />