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e u rof i ns PACKING SLIP <br /> Air Toxics <br /> Page 1 of 1 <br /> Prepared For: Arcadis U.S.. Inc. <br /> Ship Date: 12/15/14 <br /> Ship ID: KV99336 <br /> Ship Date ontrol <br /> Item ID Code Quantity Description 12/15/2014 <br /> 37739 1 1 Liter Summa Canister yet t�4., " 12/15/2014 <br /> 34136, 1 1 Liter Summa Canister <br /> 137333, 1 1 Liter Summa Canister u Sh ut I n i¢"S} 12/15/2014 I <br /> 36478✓ 1 1 Liter Summa Canister 12/15/2014 I <br /> 35652✓ 1 1 Liter Summa Canister 12/15/2014 I <br /> �1\ 12/15/2014 <br /> 35669,t--' 1 1 Liter Summa Canister <br /> I <br /> l 37669w 1 1 Liter Summa Canister 12/15/2014 I <br /> i <br /> 34613 1 1 Liter Summa Canister 12/15/2014 I <br /> 37774` 1 1 Liter Summa Canister 12/15/2014 <br /> 340951 1 1 Liter Summa Canister 12/15/2014 I <br /> 36538 1 1 Liter Summa Canister 12/15/2014 <br /> 1 Candy Bar 12/15/2014 I <br /> 1 Gauge-Vacuum 12/15/2014 I I <br /> Fitting w/Pink Ferrule 12/15/2014 I <br /> 2 Chain of Custody 12/15/2014 I <br /> 20200 y' 1 Soil Gas Manifold/11"'.1"/ (W11 01/0.1/1990 I <br /> 202091---' 1 Soil Gas Manifold 01/01/1990 I <br /> 30809 1 Soil Gas Manifold �, 01/01/19901 I <br /> (� 30712 ✓ 1 Soil Gas Manifold 01/01/1990 I <br /> 20919✓ 1 Soil Gas Manifold 01/0111990 <br /> 30756✓ 1 Soil Gas Manifold 01/01/1990 <br /> 30538 V 1 Soil Gas Manifold 01/01/1990 <br /> 74� 1 Soil Gas Manifold 01/01/1990 <br /> 3086✓ 1 Soil Gas Manifold 01/01/1990 I� <br /> 30559 1 Soil Gas Manifold 1/01/1990 I� <br /> 4 Sampling Syringe Assembly(60cc) 12/15/2014 IJ <br /> IMPORTANT! The preparation and certification charges for the above equipment will be billed upon return to the laboratory for analysis. <br /> This equipment is part of an analytical service and must not be transferred to any other party unless approved by Air Toxics Ltd. Any <br /> equipment not returned within 30 days will be billed as indicated above.We appreciate your doing business with Air Toxics Ltd. <br /> Air Toxics Limited will ensure that any substances and/or containers shipped to Client for purposes of sampling, are shipped in compliance <br /> with all applicable local, State and Federal regulations. Client bears sole responsibility for determining the applicability of and compliance <br /> with all regulations applicable to the shipment of samples back to the laboratory. Air Toxics Limited assumes no liability with respect to the <br /> collection, handling, or shipping of samples. Client agrees to hold harmless, defend, and indemnify Air Toxics Limited against any claim, <br /> demand,or action of any kind related to the collection, handling,or shipping of samples. D.O.T. HAZMAT Hotline(800)467-4922 <br /> 180-B Blue Ravine Road,Folsom,CA 95630 <br /> (916)9851000 - (800)985-5955 . FAX(916)9&51020 <br />