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PAGE 1 of Z <br /> ENVIRONMENTAL AUD[ INC. <br /> ® Chain of Custody Record <br /> Planning, Environmental Analyses and Hazardous <br /> Substances Mdnagement and Remediation SAMPLING REOUIREMENTS RCRA❑ NPDES❑ SDI Cl <br /> 1000 ORTEGA WAY, SUITE A W (714) 632 - 8521 WRITTEN OC REPORT TURNAROUND TIME <br /> PLACENTIA, CA 92670-7125 rA (714) 632 - 6754 ROUTINE OC[� <br /> RWOCB QC(3 SAME DAY Cl 24hr❑ 48hr❑ NORMAL <br /> PROJECT NO PROJECT NAME <br /> CONTR i <br /> -J O ANALYSES REQUESTED REMARKS <br /> 1232 Montgomery Ward-Stockton <br /> SAMPLER Islgmtwe with Pt mea Namel PROJECT MANAGER t7. T6A f 4111IJ P J Ae <br /> AlI <br /> W _ � u <br /> AL Yt Ar- F' — O — O O 7[ O Vc 1t/l Cl�[r 6GN [1� OHIO(.) <br /> d O f <br /> F= in ❑ L7 W <br /> CII <br /> rD CO V <br /> SAMPLE NUMBER DATE TIME O � SAMPLE DESCRIPTION � �� � � � �j' V V O <br /> U 0J <br /> U Q m � m Ow O z z <br /> "5- <br /> "7 6 <br /> T-3 <br /> 5 <br /> ) j, <br /> VERU-3 IL goo r� <br /> TOTAL NUMBER ZE <br /> R PjS1gn2awre/rIarnej <br /> [urrtName} DATE(f1ME RECEIVED BY a OF CONTAINERS <br /> (�{e 44__fly7// J ( gna[ure/Namcl RELINOUISFiED BY 151gnature/Namel DATE/TIME RECEIVED BY (Slgnatwe,RVameJ <br /> I7CEJNOUI D DATEITIME RECEIVED BY ISlgnaturemamel REUNOUISHED BY pignature/Namel DATEITIME RECEIVED BYnamw <br /> SI <br /> i 9 elNamel <br /> SAMPLES SHIPPED VI& SHIPPED BY Pgna[ure/Name) COURIER {SlgnatureMamel RECEIVED FQR BY {Slg turr/Narttcl f DATE/TIME <br /> FEdIX ❑ t UPS ❑ AIRBORNE ❑ - q_+ a� <br /> HAND ❑ AIRFREIGHT❑ Cl uRetu r LAB {^� I �+— f <br /> +a 4v�c�crrns I <br />