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Torrent <br />I. AHOHATOHr, INC <br />483 Sinclair Frontage Road <br />To <br />Milpitas, <br />0� 52 <br />R'AT 458 RESETR' nt <br />rrnr_tixlnrltlaFimm-� <br />CHAIN OF CUSTODY LAS OORKORDERNO <br />iADED AREAS,AREF�ORtTORRENT�LAB�U hE ON _Y • ;;;�!�O ✓{�o,;�.D,� <br />Company Name: Process Specialties <br />Location of Sampling: by <br />Address: 1660 W. inne Road Bldg A . <br />Purpose: Compliance - Self Monitoring Report ( i <br />r <br />City: Tracy . ;-: <br />State: • CA: r Zip Code:• -95377 <br />t <br />Special Instructions I Comments: Fdter sample thru 0.45 micron rdter - report as dissolved <br />Telephone: 1-800-533-8820 FAX: <br />REPORT TO' Edward Morris-- --=SAMPLER: emorriseprocesspecialti <br />'P.O:k' _-_ ' - —EMAIL-- <br />TURNAROUND TIME: <br />SAMPLE TYPE: <br />REPORT FORMAT: <br />- 010 Work Days Q 3 Wo k Days ❑ Nom - N d Dar <br />❑ Sioml Water - Q k <br />(J OCLe N `- - <br />ANALYSIS <br />(j7WorkDays (j2WorkDays ❑2.8Naus <br />�W�eWakr Q <br />�� <br />` <br />REQUESTED <br />GrandWaW <br />❑ Exel <br />Work oar: Q , w«k Dar Q or-ar❑ <br />Soil <br />hof <br />p <br />a <br />U <br />W <br />N <br />Q <br />F <br />U <br />p <br />n <br />-- <br />LAB ID <br />CLIENTS SAMPLE I.D. <br />DATE / TIME <br />SAMPLED <br />MATRIX <br />/ OF <br />CONT <br />CONT <br />TYPE <br />REMARKS <br />s �� ,- <br />9sYS .vl <br />ww <br />t <br />zsomL P <br />,/ <br />✓ <br />✓ <br />✓ <br />✓ <br />WW <br />t <br />250mL P <br />✓ <br />✓ <br />✓ <br />✓ <br />✓ <br />WW <br />1 <br />250m1 P <br />✓ <br />✓ <br />✓ <br />✓ <br />✓ <br />Were Samples Received in Good Condition? Vyes LI NO Samples on Ice? V Yes U NO Method of Shipmel <br />NOTE: Samples are discarded by the laboratory 30 days from date of receipt unless other arrange -menu are made. <br />1-••--- -�r. -1 ��-•--*--- F- <br />Lag In By. L Date:, Log In Reviewed 8y <br />i <br />Sample seats intact? a Yes (j NO Q WA <br />r -- --� <br />Page_)_ of 1 <br />Date: <br />�fJs•�- <br />483 Sinclair Frontage Rd_, Milpitas, CA 95035 i rcf: 408.263.5258 408.263.9293 l www.torrontlab.com <br />Total Page Count: 15 Page 15 of 15 <br />