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0 0 L-f TcE 0 V' <br /> Batch No " <br /> HYDR <br /> ENV IRMENTAL Chain ®f Custody CA PO-2089 <br /> TECHN OGIES, INC. <br /> 2394 Mariner Square Drive, <br /> 7ve,Suite 2, Alameda,CA 94501 Page of <br /> 7l i /2000 <br /> 510-521-26$4(voice) 510-521-5078 (fax) <br /> Lab Name TEG Analysis Request <br /> Address 11350 Monier Park Place <br /> Rancho Cordova, CA 95742w a o E y T S <br /> q K <br /> Telephone 916-853-8010 = w o N 3 <br /> y on G h U <br /> 5,iers(Signatu G 5 yo <br /> /W c� a 9 �c 2 V oNo o v ov w° a 3 <br /> C/ Socl L�tk u u�'CO I ° t> > <br /> n 7 Z x u U H F a <br /> Sample Number Matrix Location p a > > cc>.�i a -� a 4 �" ° 3 i z <br /> l 0007 1 I(Vb soil B-6 ld feet) <br /> z 0007 I soil B-6 �S feet) <br /> 3 0007 1 h soil B-6(2v feet) <br /> 4 0007 t soil B-6 (-LS feet) <br /> 5 0007 soil B-6 (30 feet) <br /> 6 0007 l Z 7rS soil B-6 ( feet) I <br /> 0007 j2 soil B-6 (4v feet) <br /> g 0007 soil B-6 (/+5 feet) <br /> 9 0007 soil B-6 ( feet <br /> l0 0007 sot] B-6( feet) <br /> Relinquished Byy} 1 Retinquished By 2 Relmquished By 3 <br /> Project information Sample Receipt <br /> Protect Name Total No of Containers /I �'J� 1`5-d <br /> Central CA Traction Co rt .,. -1 <br /> Protect Manager Chain of Custody Seals I(S, nature) Crime)(Signature) (Tt (St ture) ) <br /> Avaklan GfR�'�Il N^4i1� ►qW,11r�+ C /r'I�•.� ` <br /> Job No Rec d Good Cond,00NCold (Punted Name) (hare)(?nnitcd Name (Pnnted Name) <br /> 007-346 rC Iffn <br /> Shipping ID No Conforms to Record (Company) (Company) (Company) <br /> LAA No Received By 1 Received By 2 Received By { oratory) 3 <br /> Via Hand <br /> "00 <br /> �,�j tme}(St ) ilii) <br /> Special Instructions/Comments (St u r f j tGun (G -1, 711 t/ cam. ( .- -7 1 W <br /> Standard Turn Around Time <br /> (Printed Name) mom)L( m <br /> nWNam) (Daw)(tea ame) . L�. Z 4 } <br /> �f E'; <br /> {Company) pany) (La ry} <br />