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AEMC Job # 3 I c (CONFIDENTIAL) AEMC Log # 7 /l / <br /> _ <br /> • ttrretrrt SS7AMPLE MANAGEMENT RECORD rrtrrrrtrr . <br /> Generator/Client Peach ye_-N I P �o <br /> AEMC Project Manager L—r t'a7 IP L,70 i , <br /> • Job Description G L <br /> SAMPLING INFORMATION <br /> Sampling Date f S oT Sampling CollectorLtin,,-,l . <br /> • Sampling Location — <br /> (Provide sketch on back and matnc'hI sample #/ with sampling location) <br /> Suspected Toxic Constituents <br /> - I <br /> Field Conditions <br /> • Sample Depth/ Time Sampling <br /> Sample # Type Drum# Sampled Method Notes <br /> r�o - )')lav 1 _ �, � 1 : 7)o <br /> (For more than 4 samples, attach a Continuation Sheet) <br /> • LABORATORY ANALYSIS <br /> Laboratory L< Alilt-A Contact/Phone # <br /> Date/Time Samples Delivered AEMC P.O. # <br /> •. Report Due Date "Rush" Authorized by <br /> Analysis Requested U0 <br /> TP 4 LL Ln 'L L' r)-""4 'r (I L4 I L4 01� e : . <br /> �orC) <br /> Send results to AEMC Engineering Division, Attention : <br /> Sample Retention Instructions (e J C_le' o <br /> V <br /> • CHAIN OF CUSTODY <br /> Relinquished y (Company) Rece ed b ( mpany) Date/Time <br /> ��rC z 6 <br /> AMERICA ENVIRO1U4.Z T_A.. MANAGEMENT CORPORAT O <br /> 11255 White Rocx Road, Rancho Cordova, CA 95670 (916) 985-6666 <br />