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CHAIN OF CUSTODY/ANALYSIS REQUEST <br /> Attention MarkDysert Phone (650)799-9204 Bi#ina(if dWerend <br /> Company Name Dysert Environmental, Inc. Email environmental.data@gmail.com Attn:Accounts Payable <br /> Mailing Address P.O. Box 5608 Mobile _ Dysart Environmental Inc. <br /> City,State&Zip San Mateo,CA 94402 P.O.W. P.D.Box 5608 _ <br /> Laboratory ANC C 34 6 15. Sampler/s San Mateo,CA 94402 A <br /> \Ll Q.a <br /> Pactiv Packaging,Inc. Pactiv Performance <br /> in Inc. Eat <br /> Code <br /> Project Project Packaging, <br /> Name Stockton, <br /> Performance Drive Location Stockton, <br /> ton,CA 9520 Drive act e <br /> Stockton,CA 95206 Stockton,CA 95206 <br /> Sample Matrix= Field Notes. <br /> Wastewater 3/-Mum m o <br /> Turn Around -d-TOTES <br /> = t0 1O <br /> Time=5 Day 0 ILECTt=L� 25Cv.-.� F¢e.�. Gv. Z 0 0>0 �,o ti p o a <br /> Sample ID: Date: Time: No.of o n a a <br /> �/ y <br /> Containers <br /> —� �,U�LL-��i {pO PI -7.1,'14 LV •]a1L11P X X X X X X X <br /> >.4a•t von act <br /> .I.Rmav <br /> Iatl RaaeLN]9d <br /> I <br /> 0.eX,p xtl t Rttaly XYn,nv not <br /> m ..1...1. e -21, 1 Additional Mailing instructions: <br /> R . 7 <br /> RNI yunl,atl CY Rv[vIwJCY TI„N �.yPoly y4 CC: <br /> RVIIn9u1a11aE by RvvvMEpy nM +V ptiv v <br /> Lab Notes: Notes: <br /> On Site contact:Mark Roes <br /> p 11 <br /> ell#:209-256-0176(primary) <br /> Sample Temperature Upon Receipt in Lab= 3•�a'6"S 3 Owcea:209.983-1473 <br /> ON Site Contact:Craig ReUbach,Noble Environmental Services Corporation <br /> Dysert Environmental, Inc. Tel:(650) 799-9204 10 Enterprise Drive,Carbondale,PA 18407 <br /> ELAP#2764 Web:DysertEnvironmenlal.com P.(570)282-5660,c.(570)5100816 <br /> cretzbach nobleenvironmental.com <br /> C35685A: Chain of Custody <br /> Page 1 of 4 <br /> SIR 8of13 <br /> ACLU-TEST. <br /> C35685A `"•""•O — <br />