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Chaff of'Custody -,T T, „M «.,.;., <br /> Project No. Project Name: Parameters Pagel of 1 Rc Jori"l o <br /> 109-06 Riverbank WWTP a I .0 <br /> Sampler(Signature)" (Print P z E t <br /> Jaco Fourie n "� 6VtRD«1111 <br /> Sample o zr <br /> p a r. ,_, B 5060 Robert J.Matthews,H 2 <br /> Identification a Sampling . ,_ g <br /> EI Dorado Ilius,Ca 95762 <br /> g Remarks: (Include full list of analytes, <br /> Number Date Time l Location y e a 916-941-3860 Phone <br /> field filtering and changes to plan) 9I6-941-3860 Fax <br /> MW-10 5/4/2006 / X 4 )( X .�( TTHMs: Sum of bromodichloromethane, <br /> MW-11 5/4/2006 pY: "s X 4 Xv X K bromoform,chloroform and <br /> MW-30 5/4/2006 100 X 4 .^ X X dibromochloromethane. hivoicel'o a ,`; <br /> US Sanwa d- <br /> clko ve, <br /> LI <br /> ACbIM <br /> M i <br /> Rehaquished ($igvatmc) DatrJ['ime <br /> Sed <br /> J/j/Oof <br /> DaIeJI'inm <br /> Compmy <br /> Jaco Fom (p,�t) 13 re WAbe Compmy <br /> RdiagalshM By: (Signature) Dald anemt) <br /> Received By: (Si�atum) (P <br /> Ua1dI'ime <br /> Compmy <br /> (Print) Company <br /> Rdmgakhed By: (sipatme) Detr/rimeRece (Print) <br /> ) <br /> Umdrim <br /> companys- - sss 2 <br /> (Priv[) Com y <br /> (Print) <br />