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iZI8-,5--7 <br /> Chain of Custody Record Pacific Gas and Electric Company Page 2 of 2 0 <br /> 7.f - o co <br /> N <br /> Client Project Manager Date Preparation and N <br /> 0 <br /> PG&E Environmental:Seniices Clem Da Silva February 23,2011 Analysis <br /> Address Telephone Number Email Address: Laboratory <br /> 3400 Crow Canyo(1R`o8d 925.866.5421 Icoduagge.com Test America Labs <br /> City State I Zip Code Site Contact Laboratory Phone <br /> San Ramon ICA 94583 Clem Da Silva 925.866.5421 r 925.484.1919 <br /> Project NumberIName Sampler 41 <br /> Laboratory Fax <br /> Analysis of Wipe&Soil From 124 North East Street ]John Holliday 925)413-6637 925.484.1096 <br /> Contract Number,PO Number Laboratory Contact o <br /> Surinder Sidhu 925-484-1919 x 103 , <br /> PG&E Sample LD. Date Time Sample Type Containers Preservative Condition on Receiot/Comments m� <br /> Volume Type No. a <br /> NE-1 23-Feb-2011 10:30 Wipe 4-oz Glass 1 None X <br /> NE-2 23-Feb-2011 1035- Wipe 4-oz Glass 1 None X <br /> NE-3 23-Feb-2011 lb Y"() Wipe 4-oz Glass 1 None X <br /> NE-4 23-Feb-2011 rh K Wipe 4-oz Glass 1 None X <br /> NE-5 23-Feb-2011 ibS Wipe 4-oz Glass 1 None X <br /> NE-6 23-Feb-2011 in SS Wipe 4-oz Glass 1 None X N <br /> NE-7 23-Feb-2011 Wipe 4-oz Glass 1 None X o <br /> NE-8 23-Feb-2011 Wipe 4-oz Glass 1 None X <br /> NE-9 23-Feb-2011 1I2-'�' Wipe I 4-oz Glass 1 None x m <br /> NE-10 23-Feb-2011 J b Wipe 4-oz Glass 1 None X @ <br /> NE-11 23-Feb-2011 10 Wipe 4-oz Glass 1 None X d <br /> N - 23-Feb-2011 11Wipe 4-oz Glass 1 None X <br /> NE-13 23-Feb-2011 Soil 8-oz Glass 1 None X <br /> Special Instruction: Win' s <br /> 2-DAY TAT REQUESTED <br /> =�_C2�_L <br /> red QC/evel Project Specific Requirements(Specify) <br /> ❑ Normal ❑ Rush ❑ Other Eg I. ❑ il. ❑ in. <br /> 1. hed By Dat Time 1.Receive By Dale Time <br /> z4/t. '041 <br /> 2.Rel'quished By Date Trme 2.Received By Date Time <br /> 3.Relinquished By rate <br /> Time 3.Received By Date Time <br /> Comments <br /> COC for 124 North East Street, Stcokton.xls page 1 <br />