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M M M <br /> Chain of Custody Record � P.ge_4_of S <br /> Facility Name: Franks one stop On-site Time: 197oO Temp: <br /> URS <br /> Site Name: Franks one stop Off-site Time:i 5 311 Temp: <br /> Sky Conditions: <br /> for California RESD State or Lead Regulatory Agency: Meteorological Events: z �] <br /> Requested Due Date(mm/dd/yy): Standard TAT Wind Speed: A 3 Direction: ISI y/lJ <br /> Lab Name:Curtis and Tompkins,Ltd Facility Address: 2072 west yosernite avenueConsultant/Contractor: URS <br /> Address:2323 Fifth Street Manteca, CaliforniaAddress: 2870 Gateway Oaks Drive,State 300 <br /> Berkley,CA 94710 Site Lat/Long: N/A Sacramento,CA 95833 <br /> Lab PM:Anne Kathain California Global ID No.: NIA Consultant/Contractor Project No.: 17325996. <br /> Tele/Fax:510.486.0900/ Enfos Project No.: N/AConsultant/Contractor PM: Vernon Elarth <br /> RESD Contact: Site Designation: FOS Tele/Fax: 916.679.2000/916.679.2900 <br /> Address: Phase/WBS: monitoring wells Report Type&QC Level: Level 2 with EDF/EDD <br /> Sub Phase/Task: Analytical E-mail EDD/BDF'Marcie Redmond urscor .com <br /> Tele/Fax: Task Code: 01004 Invoice to: URS <br /> Lab Bottle Order No: Matrix #containers w/preservative Requested Analysis <br /> c � � <br /> X � h <br /> u r, 'o o -v o o Sample Point Lat/Long and <br /> Item <br /> Sample Description 8 a a a Laboratory No. w ° o T m O0 <br /> E '� Comments <br /> Y <br /> m `,� , 8 x x <br /> c0 <br /> [ 1 ­13—J 1-rhCV X21/o X I I ip- i <br /> 2 JZW 13 1,4io 1 161 3 3 <br /> 3 3/ �(` 3 ' <br /> 4 A4 iv-J 7 - 3 .3 <br /> 5 —1 1(01 3 3 <br /> 33 <br /> 1 7 3 <br /> V 8 Mw-(P <br /> 9 <br /> 10 <br /> Sampler's Name: f_. Egjaauished By/Affiliation Datq 11 Time Accepted By/Affiliation gate Time <br /> Sampler's Com an : UZS <br /> Shipment Date: 3 //O <br /> Shipment Method: --,Z:)COIAZZ E/Z <br /> Shipment Tracking No: fes! <br /> Special Instructions: <br /> 01 W <br /> Custody Seals In Place Yes No Temp Blank Yes No Cooler Temperature on Receipt of/C Trip Blank Yes No <br />