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CHAIN OF CUSTODY Page � Of 157 o <br /> d w <br /> Lab: <br /> r�7s c^ <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 Facili <br /> City, State, Zip San Ramon, California 94583 Location Tracy, CA <br /> Telephone <br /> Fax No. - 925426-0106 No. _ } <br /> __C925)925�) 6 <br /> Analyses Requested <br /> Cl) <br /> U) <br /> Special instructions and/or specific regulatory requirements: m <br /> c <br /> L N <br /> to <br /> 71 Co 0a to y <br /> E0 Co ca I— CoN > c O <br /> Date Time Matrixl No.of 2 c� a Sample Condition/Comments �; � <br /> Sample Identification Sampled Sampled Media Conts. io m o © af a_ <br /> BV-1"13 5123113 q LJ< Soil 1 Comp P see above Ice <br /> BV-H4 '4 S'0 <br /> BV-11 1(4 I I I I I ICOMP I <br /> BV-12 J&7,0 <br /> BV-13 1 <br /> BV-14 0© <br /> BV-J1 t 7 € J J J J J Comp J <br /> BV-J2 -7 Z5 <br /> BV-J3 t <br /> BV-J4 2 D <br /> Collected by: ,-, L J Collector's Signature: <br /> Relinquished b - +� S 3 1,1'Z.- Z _ <br /> q y: �, e 2 t Received by: Date/Time <br /> Relinquished by. Date/Time Received by. DatelTime <br /> Method of Shipment. Sample Condition on Rcpt: <br /> t <br /> 0 <br />