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rNM = = r M = r r r = r r r r �r r <br /> 0 8 Seattle(Edmonds) (425)778-0907 <br /> ❑Tacoma(253)926-2493 <br /> LANDAU ❑Spokane(509)327-9737 v Date <br /> ASSOCIATES ❑Portland(Tigard)(503)443-6010 <br /> Page of <br /> �a ®® v <br /> ❑ <br /> Chain-of-Custody Record <br /> I R <br /> Name ' t,T, t.�; Project No d a Testing Parameters— <br /> Project Turnaround Time <br /> u { <br /> Project Location/Event L.OG C.i4 L` CD 5#andard <br /> - <br /> s <br /> ❑Accelerated <br /> Sampler's Name o »' ❑ <br /> r+ <br /> / Ali V,,` <br /> !- L <br /> Project Contact ' ,- ., it <br /> Send Results To <br /> Sample I D Date Time Matrix Containers •�"^ 1< Observations/Comments <br /> Allow water samples to settle,collect <br /> aliquot from clear portion <br /> NWTPH-Dx <br /> run acid wash/silica gel cleanup <br /> a _run samples standardized to <br /> y product <br /> Y <br /> L ; F <br /> Analyze for EPH if no specific <br /> product identified <br /> VOC/B7IX/VPH(solo <br /> non-presented <br /> preserved w/methanol <br /> preserved w/sodium bisulfate <br /> Freese upon receipt <br /> Dissolved metal water samples field filtered <br /> Other <br /> % <br /> Special Shipment/Handling Method of <br /> or Storage Requirements Shipment <br /> Relinquished by Received by Relinquished by Received by <br /> � � 4 <br /> SignatureSignature Signature Signature <br /> Printed Name Printed Name Printed Name Printed Name <br /> Company , Company Company Company <br /> f <br /> Date y Time ' Date Time Date Time Date Time <br /> WHITE COPY-Prolect File YELLOW COPY-Laboratory PINK COPY-Client Representative Rev UOe <br />