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TestAmerica Pleasanton Chain of Custody Record � / 6 <br /> 1220 Quarry Lane TestAMencq <br /> Pleasanton,CA 94566 <br /> phone 925.484.1919 fax Regulatory Program: ❑Dw ❑NPDES ❑RCRA Ej Groundwater TestAmerica Laboratories,Inc. <br /> Client Contact Project Manager:Daniela Hamann-Nazaroff Site Contact:Brian Ukestad Date:3/20/2023 COC No: <br /> WSP TeUFax:510-6634225 Lab Contact:Micah Smith Carrier:TAL 1 of 1 COCs <br /> 1670 Corporate Circle,Suite 101 Analysis Turnaround Time Sampler:Brian Ukestad <br /> Petaluma,CA 94954 [ MENDAR DAYS [ WORKING DAYS o m For Lab Use Only: <br /> (707)793-3866 Phone TAT if different from Below z n a Walk to Client: <br /> (707)793-3900 FAX ❑ 2 weeks i 'r a a :v Lab Sampling: <br /> Project Name:Olin Tracy LLI <br /> ❑ I week o a <br /> Site:Tracy El days 2 2 g a o m Job 1 SDG No.: <br /> P O#(Invoice to Olin) ❑ I day E a o <br /> amp a to n w <br /> 0 o m d o <br /> Sample Sample TComp k of m '° E <br /> Sample Identification Date Time c=c,at) Matrix Cont. LL M 0.. a O 2 O 10 1 1 1 1 1 1 1 1 Sample Specific Notes: <br /> MW-5 3117/23 19:42 G GW 3 X <br /> MW-9 3/17123 18:36 G GW 3 X <br /> MW-10 3117/23 17:48 G GW 3 X <br /> MW-11 3117/23 16:51 G GW 3 X <br /> MW-12 3/17123 16:03 G GW 3 X <br /> MW-13 3117123 12:48 G GW 3 X <br /> MW-14 3117123 13:48 G GW 3 X <br /> MW-15 3117l23 14:45 G GW 3 X <br /> MW-15-DUP 3117/23 14:45 G GW 3 X <br /> Trip Blank 3117/23 12:00 2 X <br /> 58fl-125173 Chain of Custody <br /> Preservat on used 9=Ice,;2 #ICI;:.3=H2SO4; 4=HNO3; 5#NaOH;S*!Otlter 9 <br /> Possible Hazard Identification: Sample Disposal(A fee may be assess 7 o <br /> Are any samples from a listed EPA Hazardous Waste? Please List any EPA Waste Codes for the sample in the I'het n ID:_,,�� _Oar:..0 J Uric:_= r <br /> Comments Section if the tab is to dispose of the sample. Cooler Dsc:T. —- <br /> FedP,x: a <br /> ❑� Non-Hazard ❑Flammable ❑Skin Irritant ❑Poison B ❑unknown ❑Return to Grent Q Disposal by Packing: <br /> UPS: <br /> Special InstructionstOC Requirements&Comments: Cust.Seal:l'es `No--- Lab Cour: <br /> Blue I het 1�', one Other: <br /> Custody Seals Intact: ❑ Yes ❑ No Custody Seal No,: Cooler Temp.(C): bs'd: orrd: T erm I No.: <br /> Relinquished b Company: Date/Time: R by: Company Dat [Ti <br /> 3-Za23 )3` <br /> Relinqu" d Compan : 3f �j3 DatelTime b . Company: ate ime: <br /> Relin £shed by: Com an ' - by: Compan Da elTimeT <br /> � �1�� <br /> /� Page 36 of 37 Form No.CA-C-WI-002,Rev.4.3,dated 121M23 <br />