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C x s <br /> " 0 q 11? <br /> CHAIN OF CUSTODY Page 1-- of �— <br /> s.aa CLS <br /> TAT Standard <br /> Report results to. <br /> Name Ben Heningburg -__ Project Information <br /> Company ENSR Site Address 1665 Pacific Ave Stockton CA 95204 <br /> Mailing Address 14411 Old Placerville Road ENSR Job# O6940-357-104 <br /> City, State,Zip Sacramento,Ca 95827-2508 Unocal,lab# 2859 <br /> Telephone No 916-362-7100 GI i ID# TO607700123 <br /> Fax No 916-362-9104 Arai es Requested <br /> Spedai lnsimetions af%vor speeiric reguietory requrremen% <br /> tD <br /> ok* TWO- IVIW r i�lo>of � � Sample ConditionlComments <br /> � mss. W m <br /> MW-2 Z GW 4 X x lw/HCL <br /> MWAO -p i t id GW 4 x X icetHCL <br /> MW-11 3 GW 4 X X icerrcCt_ <br /> NP-1 4 <br /> GW 1 4 1 X X ice1HGL <br /> luf -L <br /> _- -- 4 teimmme Collector's Signature• ` OateMmo , q`® <br /> Collected�y .�' .� -� <br /> Relinquished by- ituatwnma Received by: aswume � <br /> -4 1 —0� <br /> Relinquished by DatelTlme Received by DateTme <br /> Method of Shipment, Sample Condition on Rcpt <br />