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GRI (4081 292-845D 454 n Fax (408) 295-8451 <br />� � <br />CHAIN -OF -CUSTODY <br />RECORD <br />_ <br />_-_-� <br />.F� <br />df.arra <br />T <br />GeoRestoration, Inc. 585 Emory Street, San .lose, CA <br />� <br />M <br />a <br />0 <br />r' <br />+v <br />� <br />._, <br />Project Number <br />Project Name <br />Former Lodi Chrome <br />083; <br />Sind Report Attention at Roger DockterMotes <br />E' <br />zw' <br />w <br />. <br />Sample Number <br />Gate <br />_ <br />TimeCamp <br />Matrix <br />Station Location <br />SS -1 d 1.0 <br />t rt%G <br />l j. 3` <br />S <br />Sewer discharge point <br />1.2 <br />TRE <br />X <br />X <br />X <br />X <br />N <br />C <br />SS -1 d 3.0 <br />-_---_. .... <br />r (1 AfA' <br />_.............. _.._._...._........ <br />! , u,3 <br />._..__......_.__...... <br />_. <br />S <br />Sewer discharge point <br />1 <br />............ <br />TP <br />_._.. <br />_......... <br />--- <br />_ <br />Hold C <br />SS -1 d 5.0+ <br />� <br />S <br />w_ <br />Sewer discharge point <br />1,2 <br />TP,E <br />X <br />X <br />X <br />X <br />N <br />_.._. ..... <br />SS -2 d 1.0 <br />ic- jgjt;ii- <br />S <br />Chrome strip tank <br />1.2 <br />TRE <br />X <br />X <br />X <br />X <br />N <br />C; <br />SS -2 d 3.0 <br />1 C) -,it A <br />r J <br />S <br />Chrome strip tank <br />1 <br />1'P <br />` <br />Hold C <br />SS -2 d 5.0r <br />r- <br />r, t <br />S <br />Chrome strip tank <br />1,2 <br />i TP,E <br />X <br />X <br />X <br />X <br />N <br />C <br />SS -3 d 1.0 <br />i �d <br />r ;. <br />S <br />Acid salts/copper tank <br />1,2 i <br />TjEX <br />X <br />X <br />X <br />( NSS-3 <br />d 3.0 <br />ic#<i <br />y qS <br />Acid saltslcopper tank = <br />1 <br />Mold C <br />SS -3 d 5.0 <br />S <br />acid snttsicopper tank <br />1,2 <br />TP,E <br />X <br />X <br />X <br />X <br />I <br />N <br />C <br />SS -4 d 1.0 <br />�,�`r� <br />it' , <br />S <br />Nickel hath tank <br />1,2 <br />TP,E <br />X <br />X <br />X <br />X <br />! <br />N <br />SS -4 d 3-0�• <br />r .: k' <br />S <br />Nickel bath tank <br />1 <br />TP <br />i <br />Hold C, <br />SS -4 d 5.0 <br />(� ��'�fG"t <br /># : , <br />S <br />Nickel bath tank <br />1,2 <br />TP,E <br />X <br />X <br />X <br />X <br />N <br />C <br />D-1 <br />i )ret:' <br />i t 2 {� <br />S <br />Duplicate <br />1,2` <br />TP•� <br />X <br />X <br />X <br />i <br />X <br />i <br />N <br />C <br />D-2 <br />f� ,}, ; <br />r' . t x <br />S <br />Duplicate <br />1,J <br />TP; g <br />X <br />X <br />X <br />X <br />N <br />C <br />Relinquished by: (Signature) ; Daiell ime: Received b Sign ila Date/Time <br />! r %j C'^ �. • s / i" mp <br />Instructions: <br />i <br />Tum around time <br />N -"rdt <br />a� � <br />Fi I ngvrs)o (Signature)Djtgte�tT;Ime Received by (SIgnature' : ate <br />A t <br />Co tamer type. V= 40ni grass vial, 9l t liter glass bottle: <br />500NIL = a00 I=ll plastic bottle T _ tubc i3 brass. S5 = <br />i, <br />�reserva= <br />iiue: N HCL, N- ta0 C=4° C <br />t atris: L = Water, Soil, A = Ali, M = w <br />`( � Wi _... _ -- ...... _—_-_- <br />Relmau stwe ! by: f&;nat�.ireF . Dateaime , Received try. (Sagnwure• : DateMme <br />Stainless steel. P = plastic) GJ = glass ta{ t" = Encore <br />pe <br />