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j - bHLLL Chain Of Custody Record <br /> Shell Project Manager to be Invoiced: I�11,� R(58 IjQML,Y':' <br /> 720 Olive Drive,Suite D <br /> ❑SC1EtJCF&EHG]NEEA( DATE: � _�/e'zk_' <br /> Davis,CA 95616 �TEcritVlcAFSERviEES ' gill MerchantMUr*R IR 7 <br /> Ot Z_ <br /> 1 p <br /> (530)297-4800 (530)297-4803 fax i�cRMTHouSTON> 1 3 FT-11 4 s PAGE: v <br /> SAMPL]NO COMPANY: LOG CODE: <br /> SRE ADDRESS(Street rid City): GLOBAL ID NO.: <br /> Cambria Environmental Tech,Inc. 7700 Moreland Street, Stockton, CA T060779125 <br /> ADORES&' DF DEI.IVFRARRE TOeepme,"o Party artYa D••Iame): ONE NO.: EJIAII: CONSULTANT PROJECT NO.: <br /> 5900 Hollis Street,Suite A <br /> PROJEMCONIACT(lardoopyorPOFReportto): shelloWandedf@cambria-env.com 207-0953-001 <br /> Aubrey Cool <br /> TELEPHONE: F510.420.9170 <br /> x: EMAIL: SAMPLER NAME(S)pm): Ron Barone a I( I.T'QN(.,Y!ii III ILII I' ill <br /> 510.420.3336 wool @cam bria-env.corn <br /> TURNAROUND TIME(BUSINESS GAYS) ^ <br /> ❑ 10 DAYS ❑ S DAYS ❑ 72 HOURS ❑ 48 HOURS IIZ 24 HOURS❑ LESS THAN 24 HOURS REQUESTED ANALYSIS <br /> ❑ LA-RVVQCB REPORT FORMAT ❑ UST AGENCY: o <br /> OCjMSMTBE CONFIRMATION:HIGHEST HIGHEST per80RINGALL ° $ O rn 'O z FIELD NOTES: <br /> t O 00 <br /> ` <br /> SPECIAL INSTRUCTIONS OR NOTES: CHECK BOX IF EDD IS NOT NEEDED O J ¢ E w 0 E o A y Container/Preservative <br /> m <br /> a ¢ .0 m Q o e I e or PID Readings <br /> cc:email report to:rbarone@cambria-env.com o QL N N o X : 0 Z or Laboratory Notes <br /> o ^ <br /> pC� UU e {� J-11J <br /> Vmo <br /> 10 o O <br /> d In O <br /> c No 0 � 0 o a o <br /> On ice <br /> Ca _ > > 1— L <br /> X y <br /> frNa.cUJI O <br /> onSAMPLING 116 <br /> MATRIX 50. o ` <br /> Field Sample Identificati0o C o TEMPERATURE <br /> ON RECEIPT C° <br /> o 0 a <br /> TIME CONT.DATE <br /> -77 T Ili > > > > > U <br /> ,o <br /> x1v I Xtl <br /> I � <br /> f. <br /> TT - 7- lq,o (ZKo I a <br /> Io--Itto <br /> ) <br /> II u <br /> Ib <br /> N <br /> O <br /> 1-7 <br /> RsenqusMd by:(9prove) Received by(Sigrotve) Date: Time: m <br /> Rei,gK od by.(SprWre Received by:(Siprnatue) <br /> Date: Time: � <br /> Refrpuehed by(SlpnaMre) Received by(SiproEre) <br /> d <br /> Date: Time: 0 <br /> r a <br /> �-- I`�� h '� � o3a Sos /sa o <br /> DISTRIBUTION.Whrte wn final report,Green to Fib,Yelow end Pu*to CJenL 10(16/00 Revision <br />