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NMACTEC CHAIN OF CUSTODY RECORD 3859 <br /> MACTEC Engineering and Consulting,Inc. SAMPLING <br /> 5341 Old Redwood Highway,Suite 300 NAME OF FACILITY: <br /> Petaluma,CA 94954 INFORMATION <br /> (707)793-3800•FAX(707)793-3900 MQI()�`' i STREET ADDRESS:_� <br /> I CITY/STATE: O ZIP: <br /> PR JECT NAME JOB NO. j <br /> A� A`G -� r� ,CG G320257 2 LL <br /> SAMPLERS IGNAT E�� SAMPLERS INITIALS(PRINT) <br /> OW <br /> 'L <br /> SAMPC(NG DATE O Z �� <br /> /( 2 <br /> Q0 <br /> 10 g <br /> 0° • SAMPLE SAMPLE FIELD <br /> s j <br /> MATRIX <br /> TIME NO. LOCATION MEASUREMENT <br /> Pao <br /> �t <br /> WK i <br /> D w <br /> F, <br /> b a� <br /> 4 < <br /> REUIJISHED11Y, DATE/TIME RECEIVED BY: gy,DA/TEITIMEz ARELIN UISHEDBY: RECE BY: /IDATE ITIM <br /> IE V 1WM <br /> AA <br /> ( IG RE) Q� Z (SIGNATURE) �- ( [S( /.50 ,G✓} l SIGNATU E} <br /> Ivry M'lvATRIX u U� 1�3� �` Q ,a DISTRIBUTION:ORIGINAL AND YELLOW CO S ACCOMPANY SAMPLE SHI MENT TO LABORATORY. <br /> Y 0 PINK COPY RETAINED BY SAMPLERS, YELLOW COPIES RETAINED BY LABORATORY. <br /> WATER•W REMARKS <br /> SOIL/SEDIMENT-SO <br /> 7qHER-NA " i V1 <br /> YI' h I y, fire <br /> `} S£ <br /> in .? Y S Na I WA <br /> t Pr ... <br />