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Billing Information: r Wage: f of i <br /> CHAIN-OF-CUSTODY RECORD - , 3: • <br /> -__.-- CA <br /> Alpha Analytical, Inc. WorkOrder : ARC10071623 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> TEL:(775)355-1044 FAX:(775)355-(1406 Report Due By : 2:00 PM On : 16-Jul-10 <br /> Client: Report Attention Phone Number Entail Address <br /> Arcadis-Li5Sevtt Backman (916)786-7369 x 7369 scolt.Fiackman@aroadis-us.cvm <br /> 1410 Rocky Ridge Drive EDD Required: Yes <br /> Suite 330 <br /> Roseville,CA 95661 Sampled by:Scott Hackman <br /> PO: Cooler Temp Samples ReI Date Printed <br /> Client's COC#: none Job: RV009819.00011Kent's Oil Service,Stockton,CA 4 cC 16-Jul-10 16-Jul-10 <br /> QC Level: S3 = Final Rpt,MBLK,LCS,MS/MSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No.of Bottles TPsire_svoc s <br /> Sample ID Sample ID Matrix Date Alpha Sub TAT l::� <br /> - Sample Remarks <br /> f ARC10071623 01AI S5-1 SO 07/15/10 1 1 0 1 rPtr _c srxE_c i 1 —�I l <br /> I 09:00 I I I <br /> ARC10071623-02 III, SS-2 SO 07/15/10 1 0 1 TPwa-c Hrxe c ` <br /> 09:10 <br /> ARC10071623-03 SS-3 ISO 07/15110 1 I (} 1 TPwE_C i n'Xv C <br /> 09:30 I <br /> Comments: ASAP TAT.Security seals-intact.Frozen ice. <br /> Signature i Print Name I l Company Date/Time <br /> Logged in by: �`%1Alpha Analytical,lne —^ �&0 l4 <br /> _—- <br /> NOTE: Samples are discarded 60 days after results are reported unless other arrangements are made. Hazardous samples will be returned to client or disposed of at client expense. <br /> The report for the analysis of the above samples is applicable only to those samples received by the laboratory with this COC.The liability of the laboratory is limited to the amount paid for the report. <br /> Matrix Type: AO(Aqueous) AR(Air) SO(Soil) WS(Waste) bW(Drinking Water) OT(Other) Bottle Type: L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />