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�■� r■ rr r �r r r r r� rr rr rr <br /> Chain of Custody Record Page 3Lof <br /> Facility Name: Franks one stop On-site Time: Q Temp: c <br /> URS <br /> Site Name: Franks one stop Off-site Time: 14 C)0 Temp: 53 <br /> Sky Conditions: 42c4zV,n'Lt`i C, <br /> for California RESD State or Lead Regulatory Agency: Meteorological Events: pto-e <br /> Requested Due Date(mm/dd/yy): Standard TAT Wind Speed: --"5 Direction: <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/Lon : N/A Sacramento,CA 95833 <br /> Lab PM:Anne Kathain California Global ID No.: N/A Con sultant/Contractor Project No.: 17325996- <br /> T <br /> 7325996. <br /> T,le/Fw 510.486.0900/ Enfos Project No.: N/A Consultant/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/EDF'Marcie Redmond urSCor .com <br /> Tele,'Fax: Task Code: 01004 Invoice to: URS <br /> Lab Bottle Order No: iViatrix 4 containers w/preservative Requested Analysis <br /> Item N Sample Point Lat/Long and <br /> Sample Description 5 9 a Laboratory No. w <br /> U DO <br /> No. �. A — o , o Comments <br /> a <br /> O z C7 q <br /> j41g 3/. 1 1 1401 133 Qw <br /> 17 2 1 7 -1C1-caa�C_1 1 vu 151to 1 33 �K1U <br /> (ilip 3 1 7'66 GAte 1359 �'� o �P 3 H-0JCX4-- �_Rf 4,Z� <br /> + 4 1 -7895- E F l3 y 3/�i �O 3 'Ho 1(14 < ��c�.�� . <br /> 5 1-1 C1 So Z-N►- F/31�3 r 3 6 50 - bPrl— 3 3 7 1-7 D = r r 3}8 >> 933 - 1,,� F 313 (P 3 <br /> 9 l 5 33 (� -`L l� 3/3)l X 3 Ru N <br /> ' l0 1 6-3 o7ou 3hll l 1 ' <br /> Samplers Name:IA t Relinquished By/Affiliation Date Time Accepted By/Affiliation Da Time <br /> Sampler's Company: e C,AZ t'7 <br /> SM ment Date: 3 /J <br /> Shi ment Method: HNNt> <br /> Shipment Tracking No: Im <br /> Special structions:4, 12 LA N PD S� t� a N (h:%L = i- Pos,,E 1¢ 3-T- N A t_ 2- iGA P P) t= <br /> c7l TP e,1\1 Er r <br /> 0 1 Custody Seals In Place Yes No Temp Blank Yes No Cooler Temperature on Receipt °F/C Trip Blank Yes No <br />