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aisciance 7440 LINCOLN WAY CHAINOFCUSTODY/RECORD <br /> _n Vi/onmentat GARDEN GROVE,CA 92841-1427 DATE:Aq <br /> i aboratories,Inc. TEL:(714)895.5494.FAR:(714)894-7501 PAGE: t572 OF <br /> LABORATORY CLIENT: SAID CLIENT PROJECT NAME I NUMBER: P.O.NO.: <br /> ADDRESS: TRACY PUMP STATION 126011 S154A-R10-410 <br /> 1000 Broadway Ave,Suite#675 PROJECT CONTACT: LAB CONTACT OR 0 WTE NO, <br /> CITY: OAKLAND CA 94607 STATE' ZIP: Justin Sobieraj Alan B.Kemp <br /> SAMPLER(SI'ISIGNATUrynd {ASUSEONLY <br /> TEL: FA%: E-MAIL <br /> 610-466-7119 510-446-7919 sobieraii@saic.com � <br /> TURNAROUND TIME'. <br /> ❑SAME DAY ❑24 HR ❑48 HR ❑72 HR 5 DAYS ❑ 10 DAYS REQUESTED ANALYSIS <br /> SPECIAL REQUIREMENTS(ADDITIONAL COSTS MAY APPLY) <br /> ❑ RWOCB REPORTING ❑ARCHIVE SAMPLES UNTIL _/_/_ <br /> SPECIAL:NSTRUCTIONS: <br /> Please analyze for 18 PAI-Is. <br /> m N 0 <br /> -AS <br /> N n � <br /> p N N <br /> m m <br /> USE LOCATION/ SAMPLING N0. O m X <br /> USE SAMPLE 10 MATRI% OF Z S u <br /> ONLY DESCRIPTION GATE TIME CONT. a. 6 m <br /> i - <br /> 5131d p <br /> i�r y <br /> Relinquished b ) Receiv b ( g reJ Date: Time: <br /> Re n - (Si azure) Received by:( igg ature) Date: Time: <br /> Relinquished by:(Si nature) Received by:(Signature) Date: Tme: N <br /> C,7 CD <br /> 0224/10 Revision 0 <br /> W <br /> A <br />