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CHAIN OF CUSTODY I ANALYSIS REQUEST <br /> Attention Mark Dysert Phone (650)799-9204 B01—mg-6f dffferent) <br /> Company Name Dysert Environmental, Inc. Email environmental.data@gmail.com Attn:Accounts Fayabre <br /> Mailing Address P.O. Box 5608 Mobile Dysart Environmental,Inc. <br /> City, State&Zip San Mateo,CA 94402 P.O. No. P.D.Box 5608 <br /> Laboratory ANC C31 b� y Sampler/s. (3ay3l>7 hUror�F r C San Mateo,CA 94402 <br /> A <br /> Pactiv Packaging, Inc. Pactiv Packaging, Inc. Sampling Code <br /> Project 1110 Performance Drive Project 1110 Performance Drive Eal u <br /> Name Stockton, CA 95206 Location Stockton,CA 95206 <br /> Sample Matrix= Field Notes; C <br /> I <br /> Wastewater 7 ro•rES <br /> Turn Around ZLI prtuliS <br /> Time=5 Day I oo.•l: W0.4% Bncrt <br /> Sample ID: Date: Time: Containers U ' <br /> 4 Ink Wash Water 17/19/14 13 iS 1 eP60mL PL NPy X X <br /> R�YInqulhsJ by R.celvaJ 4Y lima Dale P <br /> Y f! r',rc Ito I I I iS ! f! Additional Mailing Inslructions: <br /> R$IingW.hed by Rl N.d by Tl—(,zoele <br /> oI L 16 f1 Cc: <br /> Rcllnqul�hed 4y R�ulvtl by Tl— u.16 <br /> Z—I <br /> Rehnqulshedby 11-1'ed by Tme bete <br /> Lab Notes; V Notes: + <br /> On Site Contact:Mark Ross <br /> Analyze STLC Extract for STLC Copper(Cu)if Cu Is>26 Cell qr 209-256-0176(primary) <br /> Offica#:209-903-1473 <br /> Sample Temperature Upon Recel t In Lab= 13 Off Site Contact:Craig Retzbach,Noble Environmental Services Corporation <br /> Dyserf Environmental, Inc. Tel:(650) 799-9204 10 Enterprise Drive,Carbondale,PA 16407 <br /> 510-016 <br /> ELAP#2764 Web:DyserfEnvironmonfal.com c etzh ch 2 5660noble nvllronlmental.com <br /> C37651: Chain of Clustodv <br /> Page 1 of 2 <br /> ■ 8of19 <br /> ■.Accu-r�sT <br /> 037651 <br />