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co <br /> CHAIN OF CUSTODY j"°;Fb Page 3 0f 5-. <br /> Lab: (0 <br /> lez� <br /> TAT: <br /> Report results to: <br /> Name Philip McLaughlin project information <br /> Company Bureau Veritas North America, Inc. Project No. 33113-013018.02 <br /> Mailing Address 2430 Camino Ramon#122 Name Proposed FedX Facility <br /> City, State,Zip San Ramon, California 94583 Location Tracy, CA <br /> Telephone No. (925)498-6512 <br /> Fax No. 925 426-0106 Analyses Requested <br /> 0 <br /> O <br /> Special instructions and/or specific regulatory requirements: m <br /> [t1 0 <br /> C" <br /> co <br /> co C�' n cin o I <br /> o o M m c m o <br /> ?Im m ¢E 26 2 OD co <br /> Date Time Matrix/ No.of o CL �Sample Condition/Comments a, <br /> Sample Identification Sampled Sampled Media Conts. F- r m > O a a_ <br /> BV-F1 512313 X334 Soil 1 F F F F F Comp F Ice <br /> BV-F2 <br /> BV-F3 <br /> BV-F4 3 O <br /> BV-G1 3 5-8 G G G G G Comp G <br /> BV-G2 <br /> BV-G3 qaD <br /> dW BV-G4 1Efi <br /> BV-1-11 —4— H H H H H lComp H <br /> BV-1-12 <br /> Collected by: fl,Jp AALj,-fl,;( t 41 Colle tor's Signature: <br /> Relinquished by: e/Time;-W[3 f Z- Received by: Date/Time <br /> Relinquished by: Date/Time Received by. Date/Time <br /> Method of Shipment: Sample Condition on Rcpt: <br /> 0 } <br />