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CHAIN7'Z USTODY RECORD <br /> --®alsCiE'I?Ce 7440 LINCOLN WAY / <br /> ®nvironmental GARDEN GROVE,CA 9 2841-1 427 DATE: <br /> PAGE: <br /> av aborafories,Inc. TEL:(714)895-5494.FAX:(714)894-7501 OF <br /> LABORATORY CLIENT: <br /> CLIENT PROJECT NAME/NUMBER: P.O.NO.: <br /> SAIC <br /> TRACY PUMP STATION/26011S154A-R10-410 <br /> ADDRESS: LAB CONTACT OR QUOTE NO.: <br /> 1000 Broadway Ave,Suite#675 PROJECT CONTACT: <br /> CITY: STATE: ZIP: Justin Sobieraj Alan B.Kemp <br /> OAKLAND CA 94607 LAB.USE.ONLY <br /> SAMPLER ): I N RE)t <br /> TEL: FAX: E-MAIL: <br /> 510-466-7119 510-446-7919 sobieraii(�sajc.cOM <br /> TURNAROUND TIME: REQUESTED ANALYSIS <br /> ❑SAME DAY ©24 HR ❑48 HR ❑72 HR 5 DAYS ❑ 10 DAYS <br /> SPECIAL REQUIREMENTS(ADDITIONAL COSTS MAY APPLY) <br /> p RWQCS REPORTING ©ARCHIVE SAMPLES UNTIL <br /> SPECIAL INSTRUCTIONS: <br /> Please analyze for 18 PAHs. <br /> m N <br /> M <br /> O O <br /> Y N N <br /> LAB LOCATION/ SAMPLING MATRIX OF x uJ <br /> uSE SAMPLE ID DESCRIPTION DATE TIME CONT. a <br /> ONLY <br /> 2� f7 <br /> 3 5 — ilyDq <br /> Z� -� L'- m <br /> ' o�D <br /> � 1 <br /> ✓ y <br /> 2qb—a 1 1q— <br /> O ' Date: Tim <br /> Receie: <br /> Relinquished Y: Sign tur <br /> �ature' <br /> Reli uis Signa ure) <br /> Received Ignature) Time: <br /> �o G�17 513 Lk t (� <br /> Reoeived by:(Signature) Date: Time: (D <br /> Relinquis a y:(Signatu ) / V W <br /> W <br /> 02/24/10 Revision <br /> W <br /> v <br />