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M mar M <br /> Phone (617)886-7100 <br /> W- 46-5 <br /> ey&Aldnch,Inc Fax 617 886-7600 <br /> maw Medrord St, CHAIN OF CUSTODY RECORDe 2200, Page of <br /> ton,MA 02129-1400 DELIVERY DATE <br /> H&A FiLE NO <br /> 24624-001 LABORATORY Kiff Analytical <br /> PROJECT NAME Penny Newman Gram Stockton,CA ADDRESS 2795 Second Street,Suite 3E10,Davis,CA 95616 TURNAROUND TIME Stands <br /> rd <br /> CONTACT Carol Malone PROJECT MANAGER,] Weadmana <br /> H&A CONTACT Jeffery A Miller <br /> Arulysis Requested Comments <br /> a <br /> � Number of (apical unli'uctwirs,PrecaaLans,additwaal method <br /> Sample Nur Date Time Depth Type 9 = r 8 Coautaers numbers,etc) <br /> ti an.i .F'v m�u 1-`S r SV <br /> Laboratory tome applicableDEP CAM methods, <br /> —O +_ W " <br /> Ness afhernlsr directed <br /> --Oz -T 1X N1� ,c-z°`1 �6�jQ - W� <br /> - <br /> I <br /> - E <br /> II_ <br /> LIQUID Sampling comments <br /> Sampted and Relinquished by Received by ^ L' <br /> Q� xX __IVOA viii e� ` `O <br /> Sign Sign k%L� ; ' Amber GLus a q, �p <br /> P`"`t A' X11'� Pmt 6 1 !Ut/Lj 15676 L - - ` iPF�c Bonk A TTN 1,T'/ ' L- <br /> FirmHa a AkWA Ioc Fum - AF Preservative - <br /> Date Time Date Time -' - 40mt Voltmie _ <br /> Vlyoc <br /> 40r76 W <br /> Rel rdshedbY Received by 50LID �/� ��',�f � , <br /> Sign Sign I VOA V'u1 df�,1/a 011�flb w�. of i 3-•YC+ <br /> Prim ap -yF- AmbeiGl �ltlmC/J17f 1��C .Zp I,5 XJL�2 <br /> Firm Firm iClcarCtass �(�� a <br /> Date Tata Date Tom pri2 <br /> Evidence samples were tampered with' YES NO <br /> Relinquished by Recrived by s _ -volume If YES,pteax explain is serdoa belmr <br /> Sign SiPRESERVATION PRESERVATION KEY <br /> PranL PrintV-"/"Y 7 <br /> l� <br /> FM Firm //AJ'^fly�C�L A Sample chilled C NaOH E H SOs G Methanol <br /> /L�fT. B S mpI.OW-d D HNO, F HCL H SodttonBtsulfate <br /> Dale Ttttie � <br /> Preswmnave Certainty Data Packate(Laboratory to rise apaheable DEP CAM methodsl Regmrtd Reporting Limits and Data Qiuluty <br /> If Presumptive Certainty Data Package Is needed,Initial all sections Objecbves <br /> The required nmumum field QC samples.as desugeated m B WSC CAM VD have been or will be collated u appropriate to meet the requn tnients of Prcswrptive Certatruty ❑ RC St ❑ S I C3 GW I <br /> Matrix Spike(MS)samples for MCP Metals and/or Cyanide aro uxtuded arud identified lirrcm ❑ RC S2 ❑ S2 0 GW2 <br /> Thu Cham afCustody Record(specify) tiiciudes does not include san>ples defied as Drinking Water Samples ired, : ❑ RC.GW I SS GW3 <br /> If this Cham of Custody Record identifies samples defined u Dnnkmg W ata Samples'Trip Blanks and Field Duplicates arc included and identified Duicd and analysis mTICS arc rip Blink <br /> as appropriate Laboratory should(specify f apphc2bie) analyze hold for contingency testing the Dnnktng Water Field Duplicate and Dnnkmg Water Trip Blink 4 RC G W 2 <br /> ssirples <br /> H HITE Laboratory CANARY Project Manager ?INK Halry&Aldricfi Laboratory GOLDENROD Haley&Aldrich Coots" AUGUST 1003 <br /> Farin3003 <br />