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2/Science 7440 LINCOLN WAY CHAIN OF CUSTODY RECORD <br /> y <br /> nvironmenta/ GARDEN GROVE,CA 92841-1427 DATE: <br /> aboratories,Inc. TEL:(714)895-5494.FAX:(714)894-7501 PAGE: J__ OF <br /> LABORATORY CLIENT: CLIENT PROJECT NAME/NUMBER: P.O.NO.: <br /> SAIL <br /> TRACY PUMP STATION/26011 S154A-R10-410 <br /> ADDRESS: <br /> 1000 Broadway Ave,Suite#675 PROJECT CONTACT: LA8 CONTACT OR QUOTE NO.: <br /> clrv: STATE: ZIP: Justin Sobieraj Alan <br /> OAKLAND CA 94607 B.Kemp <br /> SAMPL (S):(SIG ATU ) .r LAgYISE 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 <br /> SPECIAL REQUIREMENTS(ADDITIONAL COSTS MAY APPLY) <br /> ❑ RWQCB REPORTING ❑ARCHIVE SAMPLES UNTIL <br /> SPECIAL INSTRUCTIONS: <br /> Please analyze for 18 PAHs. <br /> LOm <br /> m m <br /> 0 0 <br /> r N N <br /> m � W <br /> LAB SAMPLING NO. h x <br /> USE SAMPLE ID LOCATION/ MATRIX OF Z = W <br /> ONLY DESCRIPTION DATE TIME CONT. H a m <br /> _41 D 17e,12j <br /> o <br /> Relinquished by:(Signature) Received by D Time: <br /> eli i by: Si ure) Received by: gna re) Date: Time: <br /> (Q <br /> Received b (Signature) NJRe mqulshed by:( i nature) Y�( 9 ) Dat : Time:441 /a30 w <br /> 02/24/10 Revision <br /> W <br />