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AT IFOR( 1 TABORATORY SERVICES CHAIN( .CUSTODY CLS ID. NO. <br /> —� <br /> Report To: FIELD CONDITIONS: <br /> p Client Job Number ANALYSIS REQUESTED <br /> Name: Apex Envirotech, Inc. No: ERA02.004 T B M <br /> P T T <br /> Street Destination Laboratory II E B <br /> Address: 1124 Pyrites Way <br /> City,state, g X E <br /> and Zip: Gold River, CA 95670 X CLS (916) 638-7301 <br /> Project m $ g g <br /> Name: Moore Petroleum 3249 Fitzgerald RoadCn <br /> Project Rancho Cordova, m 0 0 2 COMPOSITE: <br /> Manager: SR CA 95742 1 2 6 <br /> Contact Contact C 5 0 0 <br /> Phone: (916 )851-0174 Fax: 916 )851-0177 ❑ OTHER C" <br /> Sampled <br /> By: <br /> Job <br /> Description: Rhode's monthly water <br /> Site TURNAROUND SPECIAL <br /> Location: 5491 F street, Banta TIME IN DAYS INSTRUCTIONS <br /> SAMPLE CONTAINER V *DL for MTBE <br /> DATE TIME TYPE 1 2 5 10 <br /> IDENTIFICATION MATRIX NO. 1.Q ppb for <br /> 9' a o laoD S l-f d 3 x <br /> INVOICE TO: <br /> PO# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME ^IERVATfVES (1)HCI. (3)=COLD <br /> 2)HNO, (4) <br /> INQUISHED BY(SIGN) PRINT NAME/COMPANY 11AYEIT9dE, RECE Y 1 ) pRIVN E/COMPANY <br /> y <br /> / CONDITIONS <br /> CEIVED AT LAB BY: DATErrIM COMMENTS: <br /> SHIPPED BY: ❑ X 0 UPS ❑ OTHER AIR BILL# <br />