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� I <br /> Boiling lnformatioP � Page <br /> CHAIN-OF-CUSTODY RECORD CA ,of I <br /> - - - <br /> Alpha Analytical, Inc. WorkOrder : STR04062324 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> Client TEL (775)355-1044 FAX (775)355-0406 Report Due By : 5:00 PM On : 01-Jul-04 <br /> Stratus Environmental Steve Carter <br /> 3330 Cameron Park Drive TEL (530)676-6008 EDD Required Yes <br /> Suite 550 FAX (530)676-6005 <br /> Cameron Park,CA 95682-8861 Job 2001-01031 Telchert Sampled by C Hill <br /> Report Attention Steve Carter PO Client's COC# none Cooler Temp 4°C 23-Jun-04 <br /> CC Report <br /> QC Level S3 = Final Rpt, MBLK,LCS, MS/MSD With Surrogates <br /> — i Requested Tests <br /> Alpha Client Collection No of Bottles TpHtp�-w voc w <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# — _ Sample Remarks <br /> � �A � 0612l64 � BB5Kys ,2STR04062324-01A� MWA3 5 5mysr ,2 yst1a0DCA/ <br /> DCA1 <br /> EDB-C EDD-C <br /> �TR04062324-02A MW-14 } AQ 061202!64 5 0 BrxFJcBrx�cnsr <br /> 5oxy-1 2 5oxW 1 2 <br /> DCA! DCA! <br /> EDB-C EDB-C <br /> STR04062324-03A AS-1 AQ 06/22/04 5 0 6 HTXE/GAS/ BTxE<GAs/ <br /> loll 5oxys/1 2 5oxyst 1.2 I I <br /> DCA/ DCA1 <br /> EDB-C FDR-C <br /> Comments Security seals intact,ice frozen Ca samples Send copy of receipt checklist with final report <br /> Signature Print Name Company--�— - Date/Time <br /> y Received by _ _ �[�� Alpha Analytical,Inc ��_U ��• <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 /> Matnx Type AQ(Aqueous) AR(Arr) SO(Soil) WS(Waste) DW(Dnnking Water) OT(Other) Bottle Type L-Liter V-VDa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />