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!!science 7440 LINCOLN WAY CHAIN OF CUSTODY RrECO ! <br /> nvironmenta/ GARDEN GROVE,CA 9 28 41-1 42 7 DATE: <br /> aboratories,Inc. TEL:(714)895-5494.FAX:(714)894-7501 PAGE: OF <br /> am <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: STATE: ZIP: Justin Sobieraj Alan B.Kemp <br /> OAKLAND CA 94607 <br /> SAMPLER(S IGNAL ,r LABUSEONLY'. <br /> TEL: FAX: E-MAIL: CC <br /> 510-466-7119 510-446-7919 sobierafl@saio rom <br /> TURNAROUND TIME; <br /> ❑SAME DAY ❑24 HR ❑48 HR ❑72 HR ❑5 DAYS X10 DAYS REQUESTED ANALYSIS <br /> SPECIAL REQUIREMENTS(ADDITIONAL COSTS MAY APPLY) <br /> ❑ RWQCB REPORTING ❑ARCHIVE SAMPLES UNTIL —/—/ <br /> SPECIAL INSTRUCTIONS: <br /> Please analyze for 18 PAHs. <br /> m <br /> U) m <br /> o <br /> C W � <br /> LAB LOCATION/ SAMPLING NO. v = IX <br /> USE SAMPLE ID MATRIX OF T <br /> ONLY DESCRIPTION DATE TIME CONT. IL a <br /> 9 - r2 <br /> 12- <br /> 14 <br /> 2I4 - 3 <br /> �2 4-1 <br /> Relinquished b • Si ature Rece a nature) Date: Time: <br /> R ed b :( gnature) Receive y:(S.gnature) <br /> bate: Time: <br /> —k <br /> nquished b ignature)� Received by:(Signature) Date Time: (D <br /> 5 5 / iia3e) i - <br /> 02/24/10 Revision 0-4, <br />