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Sample Transportation Notice <br /> AIR TOXICS LTV. Heunquishinq.sigranire on this docun:em indicGtes nidi 8&r4he is being shipped in compliance 1S BLUE RAVINE ROAD,SUITE B <br /> AN INVIF10MMMTAL ANALYnCAL LABORSTrAW 't'nn all applicable Iccal,state,Federal,natorol,and'ntamauanal lays,regJlatkM%;W t4 unjimnces FOLSOM, GA 95630-4719 <br /> of airy Idnd.Air Toxics Limited assumes no Iiabil!ty wit respacl to the collection, har-.6iig or (916) 985-7000 FAX (916) 985-1020 <br /> ahipp.ng of these�!arrtples_ Raknquishing signature also Micates pgreemert 0 hold harmless. <br /> CHAIN-OF-CUSTODY RECORE) defend,and inaemnily AirToxim Limited aga.nstany claim,demand,.Y action,of any land,rpWrad Page .-_of <br /> lo 11he collector,handling,or shippirig of aimp C:n-D.O.T.HcMine 80 1 167-4922. <br /> �„df- Turn Around fir <br /> Contact Person bia�.��'+s� Project Into' TlrrlQ' Clary; <br /> • Pras uflzed.by <br /> Cvrrrpart)� ��Goty'1 Email`b.►,.-�..1..J+..rrr.. _... '. <br /> P.O. <br /> Address �$Y 3! off( rUwmW At �CS..ota..r4lfa Stxle r, Zip �FNOIm81 Drxte:• <br /> Phase . (b " b�`?IRS rax i ~ 3� oo Pruje;;l ��3�"/. Rush ;.Prrassitriz3tion Gas: <br /> Collected by: (s4wure) Js* 4' Project Name ��'�lC' Gw `�h hl He <br /> Canister PressurcNec ium <br /> Lab°!_71: Fiefd'Sample I.D.(Location) `Garb Date Time Analyses Requested Initial Fina Receipt' F I' <br /> I o!S <br /> Relinquished Tyr' (SigntatLrs) Uat&Mme ecehed by:(signature) Tine Ngwo <br /> '�*W i <br /> 61'ned try_(signature) F)atplTime Rexiyed by: (signature;, Catedt6ie <br /> Rellnquishad by (3igrieiure) QaieI ime Received by: (signatJre) EW dime <br /> fib'•:..;'S11067�i C : :: Atr-Bili.# T�t1117(0- Candiiion.. �itistQmer Sea13:Itrt�Ct? :. WorJc Orclar <br /> Ilse' , Pres No on 09 0 3245 <br /> rbc•.ens�.1� <br />