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RIEDEL ENVIRONMENTAL � � Ioboralorv: Date: 9'?b'''�y SERVICES, INC Chain of �,vt s[o d}/ Contact: �'tt�� 4138 Lakeside Drive, Richmond, California 94806 Request for Analysis Page. Phone: (510) 222-7810 Fax: (510) 222-6868 Phone: Z'2�1 Of: t PROJECT INFORMATION ANALYSES CONTAINERS Project Manager: � � Project Name: SPAW tCN o 0 Fox Results to: C.-L`lk eR At: ZZZ-4(O -'V ��>7C aoo 0 u� N E x n o x n u^ z o Also to: At: Project N Ave's w No o h Co m m N o + a� � o p m to a0 1)O c d to N W C7•} N to Send Report to: C---�lt� P.O.�J �� 1 2 �� o u�i a I Y 00 v$ a Q � 3 Sample Team (print): C, e.J\4 l� ` 4'o n h� E o � o to + av a' to U f o ._00 00 OO �O '�� O Om v h UV1 vUl D H ri �o vo uM Qm rno rn u� > c o (signatures): CQ�-� M Y U[V v O a u) N U d U O ` _0 c In O to Q QO �O N ON —In N O a QIP O O In M I Q. 0 tD 0 to W to O to Oto U U a. O Turn Around Tlme: 10 Day 5 Day 48 Hr. 4 r. Other ._._..__ —._._ I a I Q p, v„� > o a a a $ a o „ri Sample ID Lob ID Date Time Matrix Preserv. t 11 t li n , ii li li 1 It tt t y t �� o a:.t ami �t�� vi:.' rv� rs �i-' yr �'r`-' w lie 132- 2\ \•.t) � x �,-��«= ts:t: r• �aC+ r r . r J sit - b\G % 1)2\ Z'S-D SPECIAL INSTRUCTIONS / COMMENTS: RELINQUISHED BY (Sampler): RELINQUISHED BY: RELINQUISHED BY: SAMPLE RECEIPT e_�k k��-t; -- � — 'T ( Iq alure Time (Signature) (Time) (Signature) Time Total No. Containers (Prinled Name) etJL 'JeV (Date)r (Printed Name) (Dote) (Printed Name) (Date) (Company) (Company) (Company) Head Space b2` RECEIVED BY: rl RECEIVED BY: i RECEIVED BY aboratory): D f ) r/(� 1_ Redd Good Cond/Cold �'Z\ Signature) U (Time) (Signature) (Time) (Signature) (Time) Y N (PrWed Name) / 2=D ) (Printed ame) (Date) (Printed aae) (Dale) Conforms to Record (Company) � (C I any) (Company) Y N