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Chain of Custody Record <br /> 2` q`" 1-�— Page of <br /> Facility Name: Franks one stop On-site Time: IOU Temp: � <br /> URS <br /> Site Name: Franks one stop Off-site Time: j OU Temp: <br /> Sky Conditions: ,r� <br /> for California RESD State or Lead Regulatory Agency: Meteorological Events: <br /> Requested Due Date(mm/dd/yy): Standard TAT ind Specd: "'S Direction: /U <br /> Lab Name:Curtis and Tompkins,Ltd Facility Address: 2072 west yosemite avenueConsultant/Contractor: URS <br /> Address:2323 Fifth Street Manteca, CaliforniaAddress: 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 Consultant/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 Tele/Fax 916.679.2000/916.679.2900 <br /> Address: Phase/"S: monitoring wells Report Type&QC Level: Level 2 with EDF/EDD <br /> Sub Phase/task: Analytical E-mail EDD/EDF Marcie Redmond UrSCOf .COm <br /> Tele/Fax: Task Code: 01004 invoice to: URS <br /> Lab Bottle Order No: Matrix #containers w/preservative Requested Analysis <br /> Vi <br /> Item ,°' 7 o b N Sample Point Lat/Long and <br /> No. 00 <br /> Sample Description F A b c Laboratory No. o o T Comments <br /> e � � <br /> v a O y C7 Q <br /> o x a w <br /> 1 r- -1` 331 ld scc,;frc <br /> Z� 2 1-7 9 i 1 - T ISI r luvo 31�1� 3 3 <br /> vG 3 1 - (A•�kL 1033 3�3) X > 3 �iuj� <br /> vj 4 11 - G�r l�'7 31�), X 3 ld- Sec d;--«h-j>> <br /> 7V s $ZI-SMF bbv NJI lei 33 QrJ <br /> )1 6 1 $21- AK I <br /> 7� 8 1-7$ZI- - rF OM3 i <br /> `�� 9 •T,�3 f�J �I31 l l [Id <br /> Sampler's Narne: • Ar)ykjA A DuA-L Relinquished By/Affiliation IL Date Tiroe Accepted By/Affiliation Pate IFTime <br /> Sampler's Company: O CcYL V / 0 3 <br /> Shipment Date: -314110 <br /> Shipment Method: 1A ArN b � <br /> Shipment Tracking No: <br /> Special Instructions: — 'G �v e v l.( b�L r S' U� [?Jv`J U�.C- Z C 22),Le T F PG vC u r /- <br /> Cn <br /> 0 Custody Seals In Place Yes No Temp Blank Yes No Cooler Temperature on Receipt of/C Trip Blank Yes No <br />