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a*a#CA STATE OF CALIFORNIA—ENVIRONMENTAL PROITECTION AGENCY <br /> • - ..REGIONAL- WATER-QUALITY CONTROL-BOARD- <br /> CENTRAL <br /> ONTROL BOARDCENTRAL VALLEY REGION <br /> PWwo 3943 ROUTIER ROAD,SUITE A • SACRAMENTO,CA 95827-3098 <br /> °"x'"'' PHONE: (916)255-3000 • FAX: (916)255-3015 <br /> PROGRAM PCA PROJECT NAME ANALYSIS REQUIRED CONDITIONS <br /> �VpCkGROC16'Q A1Y_ 1/� / oft Qvjt4- Q UEMP..WIND.6TC.i <br /> SAMPLE {S nat rej� PRINT NAME u <br /> �' it J C W < <br /> C!) <br /> 0 cc <br /> a W <br /> S A L E CONTAINER MATRIX a- � ¢ u <br /> WASTE- SOIL/ 'Q <br /> IDENTIFICATION LOCATION DATE TIME TYPE NO. WATER WATER SLUDGE <br /> LAB NO. <br /> -rlzpvaL 34AA' _ A x X ICq `1b <br /> I Hlo dill-ray <br /> 3-i 7c d v �K <br /> J <br /> I <br /> SPECIAL INSTRUCTIONS/SUSPECTED CONSTITUENTS <br /> n <br /> RELINJ I ED B), natur ) DATE/TIME IRECEIVEDBY Ignature) RELINQUISHED BY (Signature), DATEITIME IRECEIVEDBY (Signature) <br /> � <br /> i - - <br />