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FEDEILATED R"URANCE <br /> Ct <br /> ees 11.0, Box 586, Citi us heights, CA 95611 <br /> l N t o B P o B A r r p CHAIN OF CUS i ODS' <br /> THE ASSUNIIN[E 9r [YUAIITI <br /> Novato, CA, 11 Digital Drive, 94949 <br /> Phone 415 883-6100 Fax (415) 883-2673 <br /> onsultant's Name A is Environmental, Inc. I Name, of Imurui Moore PetroleLlIn Pale of <br /> ddress 1050 Melody Lane, Suite 160, Roseville, California 95678 Federated Site Location 14800 W. Frontage, <br /> reject Contact �ORTq tM kTj Q Phone # 916)782-2110 Fax# (916)786-78301 Federated Contact k�tit\(ALL <br /> im led nA - /tor�— � Phone # Fax ! (916)729-2129 <br /> Consultant Pru)et # Federated Cia # 83 -15 <br /> 9upment Method u � � ) ` n90-097 <br /> �T ❑ 24 hr ❑ 48 hr ❑ 72 hr LFRql Standard (10 day) ANA YSIS REQUIRED Sample Condition as Received <br /> Temperature° C <br /> + Cooler # <br /> n Q r Inbound Seal Yes No <br /> zq` W outbound Seal Yes No <br /> ample Description Collection Matrix Prsv #of I'Acr �3000 <br /> _Date/ Ime %o, wetcr Cont Sample p X. < <br /> - lzl`� ww as COAIMFNIS <br /> — <br /> i'')W � �Z` ��il � �L' ��t�y� r�► <br /> r � <br /> M� t1 q3 At-) IIIIIA <br /> two 11��5At� � <br /> Vill <br /> 1 <br /> Relinquished by/Affiliation Dalec�Z Time Acce ted by/Affiliation ?Date Time Additional Comment% <br /> L7 �� <br /> r � <br />