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alscience 7440 LINCOLN WAY CHAIN OF CUSTODY RECORD <br /> nviranmental GARDE=N GROVE,CA 92841-1427 DATE: <br /> fie►aborator%es,Inc. TEL:(714)895-5494.FAX:(714)894-7501 PAGE: OF <br /> LABORATORY CLIENT: CLIENT PROJECT NAME/NUMBER: P.O.NO.: <br /> SAIC <br /> ADDRESS: <br /> TRACY PUMP STATION/26011S154A-R10-410 <br /> 1000 Broadway Ave,Suite#675 PROJECT CONTACT: LAB CONTACT OR QUOTE NO.: <br /> CITY: OAKLAND CA 94607 / - .1STATE: ZIP: Justin Sobieraj Alan B.Kemp <br /> $AMPLB ):($I ATUR LAB USE ONLY. <br /> TEL: FAX: E-MAIL: <br /> 510-466-7119 510-446-7919 sobieraa'@saic.com <br /> TURNAROUND TIME: <br /> ElSAME DAY ❑24 HR ©48 HR ❑72 HR 135 DAYS 10 DAYS REQUESTED ANALYSIS <br /> SPECIAL REQUIREMENTS(ADDITIONAL COSTS MAY APPLY) <br /> ❑ RMCB REPORTING ❑ARCHIVE SAMPLES UNTIL —/—/ <br /> SPECIAL INSTRUCTIONS: <br /> Please analyze for 16 PAHs. <br /> m � m <br /> tO n m <br /> m <br /> LAB LOCATION/ SAMPLING NO. = W <br /> USE SAMPLE ID MATRIX OF <br /> ONLY DESCRIPTION DATE TIME CONT. a. a m <br /> r <br /> Relinquis ed Si r V Receiv ( re) Date: Time: <br /> Reli q gnature) Received by:(Signature) Date: Time: <br /> -- SCID <br /> M <br /> Relinqu y:(Signa re) Received by:(Signature) Date, Time: <br /> 1630 W <br /> Sfl 02/24/10 Revision <br /> v <br />