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� coCHrIN ��� �uST�®� Page <br /> of o <br /> ,aye <br /> Lab: ` �I-rAC (-e4 <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 /> cs <br /> Special instructions and/or specific regulatory requirements m <br /> L w <br /> LOno Ca <br /> � <br /> w .n w 00 <br /> LW CN CD <br /> E F Co Co E o <br /> co <br /> co <br /> Date Time Matrixt No.of z z w 0 Sample Condition/Comments � a, <br /> Sample Identification Sampled Sampled Media Conts: la- l° m O o <br /> BV-K1 5/23113_-t--75o Sol 1 K I K I K K K Comp K ice <br /> BV-K2 t 74E�S <br /> BV-Ks 101 oa <br /> BV-K4 AL <br /> BV-L1 L L L L L Comp L <br /> BV-L2 C qp <br /> BV-L3 5�C7 <br /> BV-L4 er' <br /> Collected by: ;y, Collector's Signature: ' <br /> Relinquished by: c. "Date/Time -13 ( 12-Received by. � DatefVrneCJ�❑0 )? ,/2 <br /> Relinquished by: Date/Time Received by: DateMme <br /> Method of Shipment: Sample Condition on Rcpt: <br /> a <br />