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Chain of Custody Record Page,2, of 5 <br /> Facility Name: Franks one stop On-site Time: 6700 Temp: S <br /> Site Name: Franks one stopOff-site Time: 0-0 Temp: [, <br /> Sky Conditions: rj rn n fLs,t ,l i <br /> for California RESD State or Lead Regulatory Agency: Meteorological Events: <br /> RS <br /> Requested Due Date(mm/dd/yy): Standard TAT lWind Speed: 1- 5 Direction: �1 <br /> Lab Name:Curtis and Tompkins,Ltd Facility Address: 2072 west yosemite avenue Consultant/Contractor: URS <br /> Address:2323 Fifth Street Manteca, California Address: 2870 Gateway Oaks Drive,Suite 300 <br /> Berkley,CA 94710 Site Lat/Long: N/A Sacramento,CA 95833 <br /> Lab PM:Anne Kathain California Global ID No.: N/AConsultant/Contractor Project No.: 17325996. <br /> ele/Fax:510.486.0900/ Enfos Project No.: N/A Consultant/Contractor PM: Vernon Elarth <br /> RESD Contact: Site Designation: FOS ele/Fax: 916.679.2000/916.679.2900 <br /> Address: Phase/WB& monitoring wells Report Type&QC Level: Level 2 with EDF/EDD <br /> Sub Phase/Task: Analytical E-mail EDD/EDF'Marcie Redmond llrscor .cool <br /> Tele/Fax: Task Code: 01004 Invoice to: URS <br /> Lab Bottle Order No: I Matrix #containers w/preservative Requested Analysis <br /> Item °' w o 11 0 C> Sample Point Lat/Long and <br /> Sample Description A o a Laboratory No. O0 <br /> No. E, p o 0 c -0 Comments <br /> IL I n° 3 .Q ° a x C MLE <br /> x <br /> 2 w-ICI OP 3 ll r� (� 3 3 :� <br /> ti 3 Mw-)3 bvs 31-Vr 3 � <br /> I 4 M k1�-19 67yo 3131 3 3 a <br /> 1 5 l a� ��31c- 3 . 3 <br /> i4 6 w--t 3 8 3 .� <br /> _ 7 '13 jrX1 I <br /> s <br /> 9 <br /> 10 <br /> Sampler's Name. y4 Relinquished By/AfTiliation Date Time Accepted By/A1Tiliation DatV I Time <br /> Sampler's Company: <br /> (}2s (` < �- y <br /> Shipment Date:3 V&D <br /> Shipment Method: j t4 b'TO r <br /> Shipment Tracking No: <br /> Special Instructions: <br /> ° <br /> 0 Custody Seals In Place Yes No Temp Blank Yes No Cooler Temperature on Receipt F/C Trip Blank Yes No <br /> 3 <br />