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oPARGEf- "ECHNOLOGY, INC. � CHAIN OF CUSTODY RECORD <br /> Analytical Laboratory Phone: (916) 362.8947 ` <br /> 3050 Fite Circle, #112 Sacramento, CA 95827 FAX: (916)362-0947 <br /> Company: APEX ENVIROTECH, INC . Phone:(916 ) 535-0200 <br /> Project Manager: JEFFREY ROTHGERY FAX:(916 ) 535-0207 STAL Invoice Number: <br /> Report Address: Billing Name&Address: <br /> 7844 Madison Avenue Ste 106 <br /> Fair Oaks , CA 9562A ANALYSIS REQUEST <br /> Project Name: Project/Job#: REMARKS: WET (STLC) <br /> Project Location: P.O.#: TCLP <br /> Preservative TCLP Total <br /> Sampling Container Used Matrix TAT <br /> � r <br /> 00 <br /> N <br /> W �On <br /> oC L <br /> N c to a <br /> 0 0 N <br /> O o N Z <br /> o N ej L <br /> (b O O o O co <br /> � N _ (A � N st <br /> O !p O N •p m N INA �- U . y <br /> 1•4 N N o N H U It NCTJ L <br /> O O O tl CL N N o t v N <br /> b w O w Ln Ln <br /> n.n. O O o00 000 r2 <br /> 'a <br /> 00 0 <br /> Q j D � — O• O O O N N C7 0 4 O u <br /> N EL <br /> H Z (o t o O O O O N N o o ^ N o <br /> E m a o o ;, o `: X X u so so e w m 0 Q.. c rn m <br /> o a c c t o _ w w 2 Q Q Q 4 Q 4 '° c so 2 0 c H v <br /> SAMPLE ID Date Time g �-+ o f o" (A a o m m i r', w w w w w l' Z o a U U u, a X <br /> 1411&q 7 J -I x <br /> Relin sj by: Re e b Relinquished by: Received by: <br /> Date: y-(,o 'Q7 1'irne:9: 30 Date: Y/1 4ime: a JDatc: Time: Date: Time: <br />