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�1i7 lbs <br />AM 3TENT ENVIRONMENTAL, INC. <br />Asbestos /Lead Field Senesces 1464 6TH STRFFT <br />Indoor Air Quality Services * TBL: (51) 272 4730 92860 <br />^—� FhaseI Site Assessments `TE�L:(951)212 -4730 <br />Lab Services FAX: (951) 212.4731 <br />AS13ESTOS BULK SAMPLE LOG Page of <br />ClientN=e: f t 11GD(l <br />Project Location: Q G -" 0 Field J <br />1 <br />Date: y -" l <br />-Q� Field Technician: � �. d As-0 V1 vcy" <br />Project Number; - (T° i Prior ty: A SAF _ 24 HR }�_ 3 -5 ays <br />SA.MFLE <br />NUMBER <br />SAMPU LOCATION <br />MATERIAL DESCRIPTION <br />SQ't1ARE <br />FOOTAGE <br />Time <br />Relinquished E <br />Date <br />Time <br />Received B <br />Date - OG <br />Time O : 15 &W\-1 <br />Reliia wished B <br />Date <br />Time <br />ooqe{vaf iov'. tnas " <br />p <br />-l-E <br />Date <br />Time <br />LJpn% <br />Chain of Custody Analytical Method: PLM: _ TEM: Other: <br />'-Umyk� <br />4 <br />if <br />Sam led )BY <br />Date G M O <br />Time <br />Relinquished E <br />Date <br />Time <br />Received B <br />Date - OG <br />Time O : 15 &W\-1 <br />Reliia wished B <br />Date <br />Time <br />Received B <br />Date <br />Time <br />19F -39 <br />