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A� Analytical Sciences CHAIN OF CUSTODY <br /> P 0 Box 750336,Petaluma CA 94975-0336 <br /> f%~ 110 Liberty Street,Petaluma CA 94952 <br /> S (707)769-3128 Lab Protect Number 4 0 g 0 5 P b <br /> Fax(707)769-8093 Client's Protect Name New West <br /> Client's Protect Number NWP01 004 <br /> CL)QUINFOkfATIQ ,"� __ y <br /> Company Name ex Envirotech, Inc GeoTracker EDP X Yes No <br /> Address 19244 Pyntes Wy Global ID 70607736979 <br /> Gold River,CA 95670 TVBN'4- pU#p TlM ,(0eck one} , <br /> Contact Jennifer Worsley Same Day <br /> Phone It 916-851-0174 48 Hours 24 Hours <br /> Fax#- 916-851-0177 5 Days x Normal Page 1 of <br /> e-mail Ignat—feriMapexenvirotech com <br /> Date # Presv O Lab <br /> Item Client Sampte ID ALT ID Sampled Time Matrix ConLYlh N Comments Sample# <br /> 00 <br /> W <br /> m <br /> Vr <br /> 1 I EW-4-start EW-4-start 5' O water 3 y X 4 � o�DSlo e1 <br /> 2 EW-4-end EW-4-end yt W� water 3 y X #11 sL &W 10 L of <br /> 3 31 <br /> 4 �arJ <br /> 5 <br /> a <br /> 6 <br /> 7 <br /> ♦j <br /> 9 <br /> 10 <br /> •' ' r r7{1 r uf�?�'i ' A-I.at�s,`,x.y .i s"' , <br /> +'': _ �t',� "�,SIGNA TURAS •"„' �,"-... `� _ „- y�a ..�._ ..�� <br /> Sampled By <br /> Relfnquis By Rece4yQd By <br /> Signature Date Time Signature Date Time <br />