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i 0%7 z4 <br /> r.r.rrrrr <br /> 6AMP1.L ...r%MZNT RECORD •r.•r r r r.r <br /> Generator/Client ��/r , !� �--r►.•.-�� <br /> AEMC Project Manager r--- ) <br /> Job Description <br /> ev <br /> tea. r �oa.✓.Q <br /> f SAMPLING INFO�M1►TIpN Z <br /> } Sampling Date 60e. '7 <br /> SAmPling Collector <br /> Sampling Location s <br /> ' (Provide sketch on ac an match same a vs sam in <br /> Suspected Toxic Constituent P g ovation <br /> s G . , <br /> r Field Conditions i <br /> • Sample...#_. <br /> Sample Depth/ 'i' m& --. Sam lia _ <br /> Type Drum# Sampled Method <br /> r C. <br /> � o <br /> tor" <br /> All <br /> 404 4 <br /> " Fbr�mpr an sam <br /> P e*, at a Contsnuatron 5 eet <br /> LABORATORY ANALYSIS <br /> } '3 - � I / COntact/Phone #� <br /> Date/Time Samples Delivered g/ J, <br /> AEMC P.O.# <br /> Report Due Date `Rush' Authorized b <br /> Analysis Requested <br /> Send results to AEMC Laboratory, Attentions!- 24, <br /> Sample Retention Instructions <br /> CHAIN OF CUSTODY <br /> Relinquished by (Company) Recaiv, by (Company) Date/Time <br /> AMERICAN ENVIRONMENTAL."ANAGEMENT CORPORATION <br /> 11655 White Rock Road, Rancho Cordova CA 9567D <br /> FARM 20-52 (916) 995-6666 <br /> a <br /> 9 <br />