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Air <br />!Sample Transportation Notice <br />t Reifiquist•ing sgnsture an this doctment0ndIcatmmat sample is h2ing nhiprePM im rxmINlO,n.^.r?vuith 180 BLUE RAVINE ROAD, SUITE B <br />a.l appilln=Q local, state_ FPaPral, natinnai, aim immrnationaf taros. regulations anc ordinances of FOLSOM, CA 956304710 <br />. any land. Air taxies Limited assunes no mir$y with respect to the odlaztion, handling or shipping (9161985-1000 FAX (91Bj 965-1020of these samples. R41incuishfng signawra .also indeaws agraament to hold harmless, deiancl, <br />CHAIN -OF -CUSTODY RECORD aid i-tdemrify A'r Toxics Lied agalrst amy olan, demand, or soban: of ary Wid. related to the <br />Coll9ctipr., handling, or shigpins7 cf samples, D.O,T. Hol ine (800) 4P,7•d922 Page� of <br />Project Managar 0"t -� . _ <br />C011eb <br />t<teclby: {Frnr- and S'grF r�f'!IJ �.�•�S <br />Compwy SCS rC.S Email - <br />e " r <br />Address �-f?tee. city_ _state Zip <br />Phone "2G7" Sal- e`r•.s 5 l �aac `7 J'� g '% <br />Project Info: <br />P.O. <br />Turn Around <br />Time: <br />t2buse Ork' <br />Press0Cized by. <br />.. <br />D&te: . <br />Pressur.�ion Gas.':. <br />Normal <br />� Rush <br />Pro'ect # 0'i L 20e., 0 �`f - Com? <br />Pro'ect Narneill <br />Lib -1Z. i Field Sample E.D. (Location) <br />r <br />Can 4 <br />Date <br />of (collection <br />Time <br />of Collection <br />Analyses Requested <br />Canister <br />niaal <br />Pressureflraeuum <br />Final . R'trceipt Fi�I: ' <br />601. <br />-- <br />. <br />31A71a <br />� � <br />`r <br />SIL el <br />, -r <br />5 <br />..::.. • <br />Relinquis-tod by: gnaturcj %ta+Tirne Rece'ved by: nature) DatsTime--Notes: <br />R iinquls'ad y; r n rel D2 T/irne e : (signature) Date"ime <br />v �r <br />7cufs led by: (sfgnawrel in itern E Rece y- (signature) Data MC- ` <br />.. ' ip air Name .... ..: '.': .. Alt BIII . " . <br />. T rrtp (gG)-..:.Ganciitiori .:.: .;.:.:. Casbady:Se s:l ?:: <br />I!Loxk Order. <br />iJse , <br />'Yes . Nci •' dhe . <br />. C1i?lY I <br />Nim 12W wit <br />