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L 0 <br /> s gl � �r <br /> Chair. ofCustody Record -sitz: Time; 081!9 <br /> T trii <br /> 0 b p <br /> Project Name Off.site Tune, CS 3a Ttrn : <br /> AP BUI(`,rEM CO Portfolio: ISky Conditions: <br /> BP Laborawy Conrrat;t Number: o 2. 1 a 1 7 icttc.m 0 cal Evcttts: <br /> Dste: 1 z/r 7/Z o a z - Raqrxestcd Due Date(mrom, Eids cd: Direction. !!! <br /> Send To: BNGEMFacili No.: Cottsu1%WVCont.--=r. URS <br /> [,aib Nei ic: SEQUOIA SP1CxYl4:Facli. Address: 3428 TRACY SI.VD,TRA Address: 2$70 Gatewayperks Dr.,Ste$00 <br /> C4ab Address: 889 Jervis Or, Situ ID 14o. ARCO 2093 Sacramento,CA 9W33 <br /> Mor an -iti, CA 95037 i Site La• I -::Crti's EDD: denise XR82VTSG0n.CDM <br /> l;i'craia Global iD: 70607700036 Consu]"mVC*nm- mr Pra ctrtNw 15-00002095.0.00327 <br /> L;-z PM: i atatt FCIt BFfGEM PM Cantac;: PAUL SUPPLEConsultmzt Tole!]=erre: 916-679-23871Q`15-679-2-900 1 R <br /> reielptx: 408,-776-96001408-782-6308 ddress; Corsulta-WContrac:orP?4L• VERN EDWT—H <br /> __ vaicc x: ConsultantlCanractor o ?1CsEM d 'ete erne) <br /> Rcoan Type&RC Levet:5ead CCF Remarts <br /> 8PIC CMAccount`ro.: Cl Fva:: 11MOSM Work RaicuxNo:Inxim-YO-2d7 <br /> Laic Bahia Order No; A1Aalpi;Le <br /> to w <br /> Sampte paint Lut/ ani;Anti <br /> Item Na Sample Description Time •T � n• LaborwogNo. � o Comments <br /> .p r m w P <br /> � ' C x 7 ��^ Ham. H, 1g, —:e <br /> 7. ��f � �C ! of I o rs mit TA- <br /> "r- <br /> A- <br /> 2 �r�y i tris ►� O V x x I r rpt �zpe •rano <br /> 3 T ^ S Iv.9 n3 4 1 x X : 74 Br,BC <br /> j 4 rr� - tz i V* % <br /> s . <br /> r <br /> 7 I <br /> $ i <br /> 9 <br /> LO i I <br /> i <br /> Sam Ices Name: 3r031,µ W41ea'wwwi. din uigh dBy Affilintion Daft im¢ e�.0 d$vIA �l AOY1 iDrue Time <br /> SanP;er's Car.�x'i,A,r ie'l .gaw.e es /e�' +rr..��.- •dL I Q]' <br /> phi .ent Date: S Cts _ l '°L <br /> 80 <br /> ai mcrt Methorr• �'4 •� <br /> ii trot Tvad6ag No: "Z" l 1770 <br /> i01 ii3atr%1CdDnv: Address lavolce to BPIGEM but send to URS 7rapmC0Ya1 <br /> Seals III Place Ye.0 No Temperma=$isnk Ycs No Cooler Tarn zm=on Receipt )C Trip Blain Yes %1'0 <br /> ist:r'nticsr: Whits Gapy,:Ab=p ory I Yelow Copy-BNOSM I Pink Copy-0wsu::LnvGot:trnctar 131?coc Ree.i v$= <br />