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CHAIN OF CUSTODY RECORD <br /> alSdence 744D LINCOLN WAY <br /> DATE: <br /> nvironmental GARDEN GROVE,CA 92841-1427 <br /> OWL aboratolies,Inc. TEL.(714)s95-5494.FAX:(714)894-7501 PAGE: � OF <br /> CLIE 0.1EC NAMEINUMSE' P.O.NO_: <br /> LABORATORY CLIENT: $P.IC <br /> TRACY PUMP STATION 126011 S154A-R10-410 <br /> laoo Broadway Ave.suite�s7s <br /> ADDRESS: PRO.GCT CONTACT: Lie CONTACT OR OUOTE NO.: <br /> - <br /> STATE ZIP: Justin Sobieraj Alan 8,Kemp <br /> CITY: <br /> OAKLAND CA 94607 sAMPLER(sY• TUR uusEONLx <br /> FAX: -MAL .. <br /> TEL: ." <br /> 5'IO.g66-71 yg 510-446-7919 sobieraii�saic.Gnm <br /> TURNAROUND TIME REQUESTED ANALYSIS <br /> ❑SAME DAY 0 24 HR ❑48 HR ❑72 HH DAYS 1 AYS <br /> SPECIAL REQUIREMENTS(ADDITIONAL COSTS MAY APPLY) <br /> C]RWQCB REPORTING ❑ARCHIVE SAMPLES UNTIL <br /> SPECIAL 1NSTRUCT.ONS= <br /> Please analyze for 18 PAHs. <br /> m <br /> C <br /> SAMPLING eO- u °0 x <br /> LAB LOCATION/ ytAT OFLU <br /> USE SAMPLE In DESCRIPTION DATE TIME CONT. n4. <br /> ONLY <br /> Received -'r21-5111 T <br />' efinquished by:(8ignatt r ��/[ <br /> Rece ved gnature) <br /> Relingdshed W.(Signature) <br /> Receivedb1"(S9�re) Date: Time: <br /> Ronquished by!(Signature) <br /> (Q <br /> 02124PIo Revision ID <br /> N <br /> v <br /> O <br /> W <br />