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260Zoo <br /> URS <br /> Chain of Custody Record Pesnp: <br /> Facility Name: DVI n-sne Tuns: Tem : <br /> Site Namc: Bum Pit Off-site Time: Temp: <br /> Sky Conditions <br /> for Calilomia CDCR Slate or Lead Regulatory Agency: RW= Meteorological Events: <br /> Requested Due Date(mm/dd/yy): Standard TAT Wind S Directron: <br /> Lab Name:Cutts and Tompkins,Ltd -actlity Address' nsulmot/CMUS tor'. URS <br /> Address:1323 Fi@h Street ddress: 2870 Gatensay Oaks Drivc Suite 300 <br /> Berkle ,CA 94710 Site laul.on : N/A Sacramento,CA 95833 <br /> Lab PM:Mike Dahl mst Wilbam.Global m No.: 51205363007nsulum/Conm scmr Project No.: 17327022 <br /> eldFax:510.496,0900/ hirs,Project No.: N/A onsultant/Contractor PM: Marcie Redmond x 12239 <br /> DCR Conrad Sift Designation: DVI-Burn Pit Ttie/Fax: 916.679.2000/916.679.2900 <br /> Address: hasdWBS: montarin wells Re rt T & level: Level 3 with EDF <br /> no Phaserfask: Analytical --mm[EDDTr Marcie,redmonclQurs.com <br /> Tele/Fax I ask Code: 40000 wake to: URS <br /> Lab Bottle Order No: Matrix q eoatainen w/prnemativc Rcqunted Analysis <br /> i <br /> tt" <br /> Sample Descri tion <br /> No. P P F ,.�^ Laboratory Na. rs Sample Point m encs gond <br /> g Comments <br /> C c O <br /> U <br /> O O V CO q Co`e lL` ❑ <br /> N E e � q 7 O O C <br /> g L iP L <br /> 3 o <br /> 1 MW-2-BPI <br /> 3 3 x 340ml vows HCL <br /> 2 W-2-BP z 1 1 x x z I x x -1 liter no preservative <br /> 3 MW-2-BP x I I x1 11-250.1,HCL <br /> 4 MW-2-BP x 3 3 x1 13-40ml vows-no preservative <br /> 5 <br /> 6 MW-5-BP x 3 3 x 340ml vows HCL <br /> 's 7MW-5-BP x l I x z x z z <br /> Z Z I Tiler,no preservative <br /> =i 8 MW-5-BP x I 1 x 1-250m1 HCL <br /> 9 MW-5-BP x 3 3 z 3-40mi vows-no preservative <br /> 10 <br /> Sampler's Name: Rein uls By/Affiliation Date Tim Amepted By/Amliaaon nate 0 <br /> Sampler's CompalTy: iq A IVA .-U <br /> Slo ment Date: <br /> Sbi ment Method: <br /> Shipment Tracking No: <br /> C.11SPeCill lnatrmetians: Anions Chloride,sulfate and nitrate: Dissolved:arsenic,bammn,cadmium,chromium,co r,iron,Ind. <br /> O mmgmcsc.magnmiummLnY,MlYbdmum,nickel selenium,silica. Dissolved Metals:Filter&Preserve st Lab: <br /> N <br /> Custody Seals In Place Yes No Temp Blank Yes No Cooler Temperature on Receipt_oF/C Tri Blank Yes No <br /> N <br />