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,...� � rn..■ :� �f � ettit�ttr r�i !� � t♦ / �� � IS <br /> Ah <br /> CHAIN 9 CUSTODY Page 1 of 1 <br /> Lab CLS <br /> TAT Standard <br /> Report results to <br /> Name Mark Naugle Project information <br /> Company ENSR Site Address 1240 Navy Drive <br /> Mailing Address 10411 Old Placerville Road,Suite 210 ENSR No 05027-031-100 <br /> City, State,Zip Sacramento,CA 95827 Client No Stockton Scavenger Company <br /> Telephone No 916 288 4304 <br /> Fax No 916 362 7100 Anal es Requested <br /> Special instructions and/or specific regulatory requirements + <br /> LL LL <br /> a a� o <br /> Co CU7 w <br /> m � <br /> Date Time Matrlxl No of d a ' Sample Condition/Comments m <br /> Sample IdentificationSampled Sam led Media Conts i— m 2 o- <br /> MW-1 f,-.og cn4 l GW 5 Ice/HCI <br /> MW-2 (! o$V� I<1< GW 5 loelHCI <br /> MW-3 it Q V1( I-L I h GW 5 IcefHCl <br /> MW-4 I C GW 5 Ice/HCI <br /> Collected by L Date>Trme f alp (f-a r�Collector's Signature Date/Trme t 1 061 Oe( 4/10 <br /> Relinquished by Date/Time Received by Date/Time <br /> Relinquished by Date/Time Received by DatwTlme 1(-7-'t 17gC) <br /> Method of Shipment Sample Condrtlon on Rcpt <br />