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0 <br /> BINITtgVnfoririationCHAIN-OF-CUSTODY RECORD CA Page 2of2 <br /> Alpha Analytical, Inc. WorkOrder : STR05090923 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> TEL (77 5)355 1044 FAX (775)355-0405 Report Due By ' 5.00 PM On . 19-Sep-05 <br /> Client Scott Bithricier <br /> Stratus Environmental TEL (530)676-6009 x <br /> 3330 Cameron Park Drive FAX (530)676-6005 EDD Required Yes <br /> Suite 550 EMail sbrtLnger@stratusinc net <br /> Sampled by Justin Crose <br /> Cameron Park,CA 95682-8861 <br /> Report Attention Scott Bitanger Job USA Gasoline Station No 835 Cooler Temp 4°C Date Printed <br /> CC Report PO Client's COC# 06435 09-Sep-05 <br /> QC Level S3 = Final Rpt,MBLK LCS,MSIMSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No of Bottles ALCOHOL_s ALCOHOL_ TPWP_S TPWP w voc s voc w <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# w Sample Remarks <br /> STRO5090923-07A CPT-5-57W AQ 1 09/07105 7 0 6 1 1 1 m�OHI GAsC TC <br /> BTEX! <br /> 1556 ROH �2 <br /> EDB_C <br /> STRO5090923-08A CPT-5-66 SO I 09!07105 1 1 0 1 6 WOH! BTXFJGAVBTXErctisr <br /> 16 48 EtOH 50XYSI 12 50XY5!12 <br /> DCIV DCAIEnB_ <br /> EDB-C <br /> STRO5090923-09A CPT-5-74 SO I 09/07/05 1 1 0 S McOHI BTxFIGASI Bnc�GAs+ <br /> 1706 EtOH so�ui,z Dc EDB2 <br /> EDB C <br /> Comments Security seats Intact Ice frozen CA sam les Send co of receipt checklist with final rgRort <br /> SignaF{ire Print Name Company Date/Time <br /> Received by C r � <br /> Alpha AnalyLcal,Inc <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 clrent 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 AQ(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Drinking Water) OT(Other) Bottle Type L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />