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` ' Irft G YII�IVI1 � IV-NWV�I VONr18W & <br /> Wee <br /> ev or nstrut Ions 5 <br /> PROJECT NAME _NQS �RoP�� SAMPLERS 141-EX FCO)e�5 SAMPLE CONTAINER SAMPLE DESCRIPTION CODES TAT CODES <br /> 15- 1 I {FRtN�}•-�'A - l DESCRIPTION CODES A around Waler F Oil <br /> PROJECT NUMBER A 40-ml VOA Vial 5 Surface Water 0 Waste 1 Standard <br /> (SIGN) 8 Glass Litor E Brass Tuba 17E� G Leachate H etankfyplkq 2 48 Hour <br /> RECORDER C Plastic 800-mi F Othqq(--�l,�L��,,��,, 0 Rlnaeate I Other,F9— 3 24 Hour <br /> (SIGD1) 0 Plastic Liar ` I nti _E SoIVSedlmenl 4 Other <br /> NUMBER OF ANALYSIS REQUESTED LABORATORY USE ONLY <br /> CONTAINERS <br /> Y <br /> AND � <br /> PR SERVATION g <br /> Oil SAMPLE <br /> NOTES ASSIGNED CONDITION <br /> - - BOTTLE UPON <br /> DATE TIME SAMPLE ID NUMBERS RECEIPT NOTES <br /> /dzb ! 20 1 til ✓ 7;2 -I <br /> 102f�3 1 3a1 t r <br /> ,CT N <br /> NOTES rMISCELLANEOUS �01 �QS7, Relinquished by (Signature) R dAy;�Slgnature) ate Time <br /> ril9B' �QV4+ inquis d By (Signal e) Fiecelved By (Signature) Dale Time <br /> elinquished By (Signature) Received By (Signature) Date Time <br /> Method of Shipment Description of Other Chains-Of-Custody Dispatched By (Signature) Date Time Received for lab By (Signature) Dale Time <br /> Transport Container Transported with this <br /> n Chain(by Serial No) <br /> CAOGE 12-_ <br /> Send Lab Results to (Name), J EA NO ffoJASe (Check Office Bei Verbals Requested Yes ❑ No ❑ <br /> ❑ DALLAS ❑ DENVER ❑ IRVINE ❑ MT VIEW ❑ PORTER QTHER CSG9 GO h-1 <br /> TEL(214) 770-1800 TEL(303)790-1747 TEL(714) 757-1755 TEL(415)960-1640 TEL (219)926 8651 TEL'Z O <br /> FAX(214)770-0249 FAX (303) 799 0186 FAX(714) 757-0960 FAX(415)960-0739 FAX (219)926-7169 FAX 1 <br /> ❑ BOZEMAN ❑ HOUSTON ❑ KING OF PRUSSIA ❑ PLEASANTON ❑ PORTLAND ❑ OTHER <br /> TEL(406) 586 9496 TEL(713)589-8686 TEL(215)337-2551 TEL(510)463-9117 TEL(503)2410282 TEL <br /> FAX(406) 586 9724 FAX(713)531-8886 FAX (215)337-0560 FAX(510)463-2981 FAX(503) 2410486 FAX <br /> CANONIE ENVIRONMENTAL SERVICES, CORP a TWO GALLERIA TOWER a 13455 NOEL ROAD, SUITE 1500 a DALLAS, TX 75240 a TELEPHONE 214 770-1800 a FAX(214 770-0249 <br /> SERIAL NO 9 1 1 q q WHITE Field Copy YELLOW Project Copy PINX Laboratory Copy REV 11!93 <br />