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M Chain o-study ecord _ _ I ZPalpeof <br /> 8CI fly ame: DVI On-site Time: D UJ Temp: <br /> UK* Site Name: Bum Pit - Off-sive Time: Temp: <br /> Sky Conditions: <br /> for California RESD State or Lead Regulatory Agency: RWOCB-ContralValley Region Meteorological Events: <br /> Requested Out Date(mm/dd/yy): 5 DAY TAT(SEE MJD) Wind S d: Direction: <br /> Lab Name:Curtis and Tompkins.Ltd Facili Address: Consullant/Contmctor URS <br /> Add...:2323 Fifth Strep Address: 2870 Gatewa Oaks Drive,Suite 300 <br /> Bedde,CA 94710 Site Lava on N/A Sacramento,CA 95833 <br /> Lab PM:Mike Dahl uist Califomia Global ID No.: SL205363007 Consultant/Conhactor project No.: 17326382.07000 <br /> ele/Fax:510.486.0900/ fns Project No.: N/A nsultant(ConmactorPM: Vernon Elafth <br /> RESDConlact: Site Desi tion: DVI-Bum PR ele/Fax: 916.679.2000/916.679.2900 <br /> Address. Phose/WBS: montorin well. Re rtT & Level: Levd2with EDF <br /> Sub Phase ask: Analytical E-mail EDDTo: Marcie Redmorchlbunnorp,corn <br /> Tele/Faz' ask Code: 07000 Invoice to: URS <br /> La b Bottle Order No: Matrix #containers w/preservative Requested Analysis <br /> NoSample Description F G "boratory N. Sample Point Lat/Long and <br /> Comment. <br /> y5y E <br /> o D x = a <br /> ,R3 a m o x s f o <br /> 1 IDW 00{l /9p z - 3 3 x x x 3x4oz jars <br /> 2 IDW LZf, '�l Ir x 5 1 1 7 3 1 I Ix250m1poly,Ix5(gml 1 ,3 voe <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> 7mwtMethod- <br /> S <br /> Name: styes f: Retia abhed By/ liatioe Date Time Aire fed By/Affiliation Date Time <br /> Company: UR <br /> Date: 4 / /Method:Tmckin No: itstructions: Slay TAT SEE MJD!!! <br /> als In Place Yes No Temp Blank Yes No Cooler Temperature on Receipt of/C Trip Blank Y N <br /> O <br /> W <br />