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— ' Chain Custody Record v Page.of <br /> Facility amt: DVI MCondifiow <br /> O - VJ TemUK* Site Name: Bum Pit Temp: <br /> :for Califomia RESD State or Lead Regulatory Agency: RWWB-Cenkdl Valley Regime Events:Requested Due Date(mm/dd/yy): 5 DAY TAT(SEE MJD) Direction: <br /> Lab Name:Curtis and Tompkins,Ltd Facility Address: ConsultanNContmcm[ URS <br /> Address:2323 Fifth Street Address: 2870 Gateway Oaks Drive Suite 300 <br /> Berlde ,CA 94710 Site Lai/Long: N/A Sacramento,CA 95833 <br /> Lab PM:Mike Dald uet Califomia Global ID No.: SL205363007 ComultantlContmctor Project No.: 173 763 92 07000 <br /> TCWFaa:510.486.0900/ Enfos Project No.: N/A Comultanwontractur PM: Vemon Elarth <br /> RESD Contacr Site Designation: DVI-Bum Pit Teleffim 916.679.2000/916.679.2900 <br /> Address: Phase/WBS: montorio wde RWOnTypc&QC Level: Level 2 with FDF <br /> Sub Phase/task: Anil nmi F mwl EDD To: Marcie Redmond011urscorp.com <br /> TeIUF ask Code: 07000 Invoice to: URS <br /> WbBmae Order No: Matrix #containers W/Preservative Requested Analyse <br /> Irem <br /> Sample Description [— c Laboratory No. Sample Point LatfLong andNa. <br /> Comments <br /> ry <br /> C E u <br /> c E � <br /> = F <br /> it o VO E a <br /> (? <br /> I IDW oox 3 3 x x x 3x4oz'ars <br /> -2 IDW 1.2,i �/ I x 5 1 1 7 3 1 1 Ix250m1 poly,lx5OOmlpoly,3voe <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Samplers Name: wv[+ 4 Reliaauiahe4 By I ARliatk, DateIF T,. Atte red BY/Amliation rare TiOme <br /> Sam lens Company- /' 7dA- — I( 1; <br /> Shipment Date: y / // <br /> Shi ment Method: <br /> Smmk <br /> See : <br /> 5-dav TAT SEE MJDIII <br /> W <br /> Custody Seals In Place Yes No Temp Blank Yes No Cooler Temperature on Receipt_oF/C Trip Blank Yes No <br /> O <br /> M <br /> W <br />