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TestAmerica Sacramento <br />880 Riverside Parkway <br />West Sacramento, CA 95605-1500 <br />phone 916.373.5600 fax 303.467.7248 <br />Chain of Custody Record <br />710 —I CI (-) <br />Regulatory Program: 0 DW 0 NPDES 0 RCRA 0 Other: <br />TestAmerica <br />THE LEADER IN ENVIRONMENTAL TESTING <br />TestAmerica Laboratories, Inc. <br />Client Contact Project Manager: L,4 1;•1-1-r nvoitt A Y Site Contact: Brian McCarty Date: -- ( Z -, 9 COC No: 001 <br />GHD Tel/Fax: g f 1 - g 9 /- 7-01) Lab Contact Carrier: Patriot Environmental 1 of _1 GOCs <br />5520 Corporate Dr Analysis Turnaround Time [Fittered Sample ( Y i N ) ] 'Perform MS / MSD ( Y / N) 1 *of 4 <br />tr Lla <br />,..1 <br />-..1 <br />;- <br />----L o <br />' <br />\.-/ <br />Sampler: <br />- <br />Indianapolis, IN 46278 0 CALENDAR DAYS 0 WORKING DAYS For Lab Use Only: <br />Walk-in Client: <br />1 <br />Email Results to %#iftri-, fiki/ke ViGHD.com TAT If different from Below <br />0 2 weeks <br />13 I week <br />2 days <br />13 1 day <br />()COO x,o(-)coo( FAX Lab Sampling: <br />Project Name: UPRR Lathrop <br />Site: Intermodal Yard Job / SDG No.: <br />D O#WR# ?..l .a.7._ <br />Sample Identification <br />Sample <br />Pate <br />Sample <br />Time <br />ampte <br />tc„,,,,,np, <br />C,Grub) Matrix <br />Type <br />Coat. Sample Specific Notes: <br />WRit .2- a 51-- /1"Z- A i 1 1 la c ( Y <br />r , <br />1 <br />I <br />-n <br />1 I 1 1111 <br />i co <br />a <br />Oi? 11 <br />II ii <br />_.> <br />4-) 720-91907 Chain of Cus od <br />- - - <br />0 <br />— <br />-A <br />-..- , , ' -•• <br />'reservation USW: laqcoi .gr- Fici: :3,F 112804-; 4ga,fiNO3.;._ CrsNaOH; 832 Other - • .— -•, _ _ <br />'ossible Hazard Identification: <br />I.re any samples from a listed EPA Hazardous Waste? Please List any EPA Waste Codes for the sample in the <br />.:omments Section if the lab is to dispose of the sample. <br />Sample Disposal ( A fee may be assessed if samples are retained longer than 1 month) <br />0 Non-Hazard 0 Flammable 0 Skin Irritant 0 Poison B 0 Unknown 0 Return to dent ID Dianosal by Lab 0 ArchNe for Months <br />;pedal Instructions/QC Requirements & Comments: Jobtt 11-18-00254 Please send analytical findings to o`ii4-1-'1, makty @GHD.com <br />/ 4-4' <br />Custody Seals Intact Ci Yes 0 No Custody Seal No.: iCoo :r T. mp. (°C): Obs'd. Corrd: Therm ID No.: <br />telinguished by:. g 1--..'-cdkr, qY---- Company: <br />e frrizof <br />DateMme: <br />illi_t IV° <br />- , 74,P lii Corn t.Drriml: <br />telinquis • Caimi 4-i...- terrime: <br />!\" 1 tel I 6 V <br />" - -ived by. <br />''---J2',--- s•AA/a.. t <br />Company: i-Ls <br />---t -N- <br />a (Ti e. , .. <br /> <br />_3--/----tc7 9 -------• <br />Date/Time: delinquish -d by Company Date/Time: Received in Laboratory by Company: <br />Form No. CA-C-WI-002, Rev. 4.20, dated 2/28/2019