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& CHAIN OF CUSTOD <br /> Y ECORD—a15CienCe 7440 LINCOLN WAY DATE: <br /> nvironmental GARDEN GROVE,CA 92841-1427 <br /> aboratories,Inc. TEL:(714)895-5494.FAX:(714)894-7501 PAGE: OF If <br /> LABORATORY CLIENT: CLIENT PROJECT NAME/NUMBER: P.O.NO.: <br /> SAIC <br /> TRACY PUMP STATION/26011 S1 54A-R10-410 <br /> ADDRESS: <br /> 1000 Broadway Ave,Suite#675 PROJECT CONTACT: LAB CONTACT OR QUOTE NO.: <br /> OAKLAND CA 94607 <br /> CITY: STATE: ZIP: Justin Sobieraj Alan B.Kemp <br /> SAMPLER(S):(SIGNATUW l LAS:USE ONLY. <br /> TEL: FAX: E-MAIL: <br /> 510-466-7119 510-446-7919 sobieraii@saic.com <br /> TURNAROUND TIME: REQUESTED ANALYSIS <br /> ❑SAME DAY ❑24 HR ❑48 HR ❑72 HR 5 DAYS ❑ 10 DAYS l% GJ G ANALYSIS <br /> J J <br /> SPECIAL REQUIREMENTS(ADDITIONAL COSTS MAY APPLY) <br /> ❑ RWQCB REPORTING ❑ARCHIVE SAMPLES UNTIL <br /> SPECIAL INSTRUCTIONS: <br /> Please analyze for 18 PAHs. <br /> L h C3 <br /> N N <br /> O � � <br /> LAB LOCATION/ SAMPLING NO. O w x <br /> USE SAMPLE ID MATRIX OF a H <br /> ONLY DESCRIPTION DATE TIME CONT. F- a CO <br /> �2. s 6- -/--,'�- . L )03 <br /> l <br /> c U <br /> �aZ2 - � <br /> Zo Jfv C/ Date: Time: <br /> Relinquished b <br /> Receiv b ( g re) F- ` <br /> Re n (Si ature) Received by:(9-Ig-nature) Date: Time: <br /> Relinquis ed by:(Si nature) Received by:(Signature) Date: Time: CD <br /> C730 N <br /> 02/24/10 Revision O <br /> W <br /> v <br />