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CHAIN OF CUSTODY/ANALYSIS REQUEST <br /> Attention Mark Dysart Phone (650)799-9204 Billina(if different) <br /> Company Name Dysart EnvironmenEmail environmental.data@gmail.com Attn:Accounts Pa <br /> tal, Inc. yable <br /> Mailing Address P.O. Box 5608 Mobile DysertEnv(ronmenrar inc. <br /> City,State&Zip San Mateo, CA 94402 P.O.No. P.O.Box 5608 <br /> Laboratory ANC 034665 SampleMslC\ m% San Mateo,CA 84402 <br /> Pactiv Packaging,Inc. Pactiv Packaging, Inc. sampling coda= <br /> Project 1110 Performance Drive Project 1110 Performance Drive Eat a <br /> Name Stockton,CA 95206 Location Stockton,CA 95206 N <br /> Sample Matrix= Flom Nneae <br /> Wastewater 3/-Mums " ° "� � c ; <br /> Turn Around g-TCTES L°@ 3-_ is> > _ _ <br /> Time=5 Day v mg o Li ,z <br /> o <br /> a«a 4 <br /> No. f NW <br /> Sample ID: Date: Time: nta �a o. o. s <br /> of 4 = <br /> 0 4 <br /> Containers " >al w t- <br /> -( 2047 ZGiy112Z aLav x x x x x x x <br /> t a. VOANCY <br /> l,1LP6a OLNP <br /> Sall deft GL NrSOi <br /> HeIInVUI ,°tlF ariNv°GhY iNis <br /> L4 Additional Mailing Instructions: <br /> R uli Oh , MnlwOh n„� W� <br /> RA UK <br /> F2a=1 ouQ <br /> a°ntlaam.ahv a.<�.m by nia. oro <br /> Lab Notes: _.................._ Notes: <br /> On Site Contact:Mark Rose <br /> Cell 6:209-256-0176 tprimary) <br /> 3.b-6 3=3.3 Orrice6:209.983-1473 <br /> Sample Temperature upon Receiptin Lab= Orr Site Contact:Craig Retzbach,Noble Environmental Services Corporation <br /> Dysert Environmental, Inc. Tel:(650) 799-9204 10 Enterprise Drive,Carbondale,PA 18407 <br /> ELAP#2764 Web:DysertEnvironmentatcom p'1570)2825860,c. iron ental.coan <br /> 15 <br /> cretzbaeh(a�nobleenv670)510-0815 <br /> C35685: Chain of Custody <br /> Page 1 of 4 <br /> ■ 18 of 64 <br /> E.4CCUTEBT° <br /> C35685 <"°°°"`"°"° <br />