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w(2L� tl'3a <br /> CHAIN OF CUSTODY/ANALYSIS REQUEST <br /> Attention Mark Dysert Phone (650)799-9204 Bullae(if different) <br /> Company Name Dysart Environmental,Inc. Email environinental.data@gmail.com Affn:Accounts Payable <br /> Mailing Address P.O. Box 5608 Mobile Dysert Environmental,Inc. <br /> City,State&Zip San Mateo,CA 94402 P.O.No. py P.D.Box 5608 <br /> Laboratory ANC C36111 Samplerls FDOY317 f7c0r-rcll:! San Mateo,CA 94402 j s <br /> La <br /> Project <br /> Pactiv Packaging, t Inc. Pactiv Packaging,Inc. bamplingcode= <br /> 1110 Performance DriProjec <br /> On 1110 Performance Drive Eat <br /> Name Location <br /> Stockton,CA 95206 Stockton,CA 95206 <br /> Sample Matrix= Field Notes: e <br /> Wastewater IS DA"5 x o I <br /> Turn Around I I roles s >° <br /> Time=5 Day LanPO5lTSO So,,.L rao aACH <br /> Sample ID: Data: Time: No.of F <br /> Containers <br /> 114A r.'.L nor <br /> Ink Wash Water P1 XHOa X X <br /> —1 10/7N/IN <br /> a.ungmew by w..masY n,.,. Dee <br /> +��' aro I IS o Lo%2N/I Additional Mailing Instructions: <br /> "elingWs Ey Re<eNea Y nqe aab <br /> 1q01012,-7114 cc. <br /> R.vogmm.abr <br /> ..db, nee as <br /> Lab Notes: Notes: <br /> On Site Contact:Mark Rosa <br /> Analyze STLC Extract for$TLC Copper(Cut if Cu la>26„ (1 Cell 0:209-266-0176(primary) <br /> $am le Tem erature Upon Receipt In Lab= ( ON'l" ^`I � I."J ONlcea:209-983-1473 <br /> Off Site Contact:Craig Relzbach,Noble Environmental Service,Corporation <br /> Dysert Environmental, Inc. Tel:(650) 799-9204 10 Enterprise orive,Carbondale,PA 18407 <br /> p.(570)28 b6J0,c.(570)510.0815 <br /> ELAP#2764 Web:DysartEDVlronmenleLCOm cretzbach@nobieenviranmentalxom <br /> C36711: Chain of Custody <br /> Page 1 of 2 <br /> ■ 8of19 <br /> ■ACCLJTEST. <br /> C36711 .•.e...e. .. <br />