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Lar 'tory tt Shaw nvir tl Chain Of Custody Record <br /> CLIENT <br /> F-®c,,,� -*`( `-- DATE: <br /> D 53 Z q Z_ PAGE: of <br /> SAMPLING COMPANY. 1LOGCODE: SITE ADDRESS(Street and City): <br /> Shaw Environmental,Inc. <br /> ADDRESS: EDF DELIVERABLE TO fResP.—bb Party.,D-9—): PHONE NO, EMAIL: CONSULTANT PROJECT NO.: <br /> 767 Ames Ave,Milpitas,CA 95935 <br /> PROJECT CONTACT(Hardcooyo,PDF Report lot: <br /> SAMPLER NAMES)(Print: <br /> Bill Johnston <br /> TELEPHONE I FAX: EMAIL' <br /> 408.945.5200 408.934,1217 <br /> TURNAROUND TIME(BUSINESS DAYS): <br /> 10 DAYS ❑5 DAYS ❑72 HOURS ❑48 HOURS ❑24 HOURS ❑LESS THAN 24 HOURS REQUESTED ANALYSIS <br /> FIELD NOTES: <br /> SPECIAL INSTRUCTIONS OR NOTES: ContaIna rlPreservatlye <br /> � o or PID Readings <br /> -AIR L1u4 VOLt/I►{ or Laboratory Notes <br /> Ct L - 923.. L , e�- g6z.1 <br /> tae SAMPLING NO,OF �Olv <br /> USE Field Sample Identification MATRIX DONT. C.W <br /> ONLY DATE TIME <br /> GL <br /> e3 <br /> y or <br /> C 5- <br /> G� <br /> Relinquished by.(Signature) Received by:(Signature) Date: Time. <br /> Relinquished by.(Signature) Received by:(Signature) Date: Time: <br /> 117 <br /> Relinquished by(Signal re) Received by;(Signature) Date: Time. <br /> 03106/03 Revision <br />