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CHAIN Of CUSTODY RECORD <br /> alscience 7440 LINCOLN WAY 7 <br /> DATE: O <br /> ®nvironmental GARDEN GROVE,CA 9 28 41-1 42 7 PAGE: OF <br /> A aboratories,Inc. TEL:(714)895-5494.FAX:(714)894-7501 ''TT <br /> P.O.NO.: <br /> CLIENT PROJECT NAME I NUMBER: <br /> LABORATORY CLIENT: SAIL <br /> TRACY PUMP STATION/26011 S154A•R10-410 <br /> UR CONTACT OR QUOTE NO.: <br /> ADDRESS: PROJECT CONTACT: <br /> 1000 Broadway Ave,suite#675 <br /> STATE: CA nP: 94607 Justin Sobieraj Alan B.Kemp <br /> CITY: LAS USE ONLY <br /> EMAIL S06iefall salO.COm <br /> OAKLAND SAMPLERl*): RE)< e <br /> FAX: <br /> TEL 510-446-7919 <br /> s1 o-assail s <br /> TURNAROUND TIME.. REQUESTED ANALYSIS <br /> D SAME DAY ❑24 HR D 48 HR D 72 HR 5 DAYS D 10 DAYS <br /> SPECIAL REQUIREMENTS(ADDITIONAL COSTS MAY APPLY) <br /> D RWQCB REPORTING ❑ARCHIVE SAMPLES UNTIL <br /> SPECwL INSTRUCTIONS: <br /> Please analyze for 18 PAHS. <br /> m N m <br /> m m, <br /> NO. w w K <br /> LAB LOCATION/ SAMPLING MATRIX OF t W <br /> USE SAMPLE ID DESCRIPTION DATE TIME CONT. H a IS <br /> ONLY <br /> 2L <br /> 2S5 _ Z- 00 <br /> 1p <br /> 17u <br /> 1 37 <br /> Tme 1® <br /> Rete' - at U. <br /> Relinquished b '. Sign tur <br /> Dat . Time: � <br /> Retended Ignature) N <br /> Re1i uis ' Signa ure) <br /> OateTime: � (D <br /> ReceiveC by:(Sigralure) S W <br /> Relinqursne y:(Signa.. <br /> 02/24/10 Rvisign p <br /> W <br /> 4 <br />