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a/Science 7440 LINCOLN WAY CHAIN OF <br /> CUSTODY RECORD <br /> nvironmental GARDEN GROVE,CA 92841-1427 DATE: O / <br /> s aboratories,Inc. TEL:(714)895-5494.FAX:(714)894-7501 PAGE: OF <br /> CLIENT PROTECT NAME/NUMBER: P.O.NC.: <br /> LABORATORY CLIENT'. <br /> SAIC <br /> TRACY PUMP STATION/260115154A-R10-410 <br /> ADDRESS: LAB CONTACT OR QUOTE NO.: <br /> 1000 Broadway Ave,Suite#675 PROJECT CONTACT: <br /> CITY: srATe: nv: Justin Sobierai Alan B.Kemp <br /> OAKLAND CA 94607 MUSE DNcv <br /> SAMPLER ): RE)< ! <br /> TEL: FA%: E-MAIL [a ID F11 61 <br /> s10-ass-711s 510-446-7919 sollieraiiCD3saiacom <br /> TURNAROUND TIME REQUESTED ANALYSIS <br /> ❑SAME DAY ❑24 HR 0 48 HR ❑72 HR 5 DAYS ❑ 10 DAYS <br /> SPECIAL REQUIREMENTS(ADDITIONAL COSTS MAY APPLY) <br /> ❑ RWQCB REPORTING ❑ARCHIVE SAMPLES UNTIL <br /> SPECIAL INSTRUCTIONS: <br /> Please analyze for 18 PAHs. <br /> m <br /> N m <br /> 'n <br /> IN <br /> m � . <br /> U m <br /> LAB LOCATION/ SAMPLING N0. % <br /> MArRIi OF <br /> DATE F d <br /> t s W <br /> USE SAMPLE ID DESCRIPTION a G ~ <br /> TIME CONT. <br /> ONLY m <br /> L i Oq�O <br /> 22 21" <br /> 3 5 L D`f� <br /> 030 <br /> 2 � <br /> 30 5 , <br /> Date: T^re: j <br /> Relinquished by: Sign tur Rec ' lure) / /0(/ <br /> / �1 <br /> Dat . Time: <br /> Reil u'Is Signa re) /' 7� �✓ ]� Received Ignstu s) <br /> mow✓.D //J D J �/ Date: Time: CD <br /> RBlinquls a y:(Signatu ) Received by:(Signature) CIO <br /> S / O <br /> 0224/10 Revision O <br /> W <br /> A <br />