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CHAIN OF CUSTODY Page / of � N <br /> ,spa Lab: � <br /> TAT: <br /> Report results to: <br /> Name Philip McLaughlin Project Information <br /> Company Bureau Veritas North America, Inc. Project No. 33113-01301&02 <br /> Mailing Address 2430 Camino Ramon#122 Name Proposed FedX Facility <br /> City, State,Zip Sari Ramon, California 94583 Location Tracy, CA <br /> Telephone No. (925)498-6512 <br /> Fax No. (925)426-0106 Anal ses Requested <br /> U <br /> C <br /> Special instructions and/or specific regulatory requirements: /� o <br /> CoC14 720-49923 Chain of Custody r` <br /> CE CO <br /> p Ca Co Co E 0 <br /> Elate Time Matrix/ PSo.of i w 0 a Sample ConditioniComments 0, <br /> Sam le Identification- Sampled Sampled Media Conts. F m o o w a_ <br /> BV-Al 5123113 C1(JZ-, Soil 1 A A A A A lComp A Ice <br /> BV-A2 09 4 T <br /> BV-A3 lotfg <br /> BV-A4 C�'Cjq 7 V if <br /> —BV-B1 1010 B B B B B Comp B <br /> BV-B2 ( Ogg <br /> BV-B3 2. <br /> BV-B4 p <br /> BV-C1 C C C C Comp C <br /> BV-C2 �-�3�3 <br /> Collected by. ` ` Co Collector°s Signatur4 e: - G <br /> Relinquished by: e Received by: Date/Time <br /> Relinquished by: Date/7"rme Received by: Date/Time <br /> Method of Shipment: Sample Condition on Rcpt: <br />