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29 a/Science 7440 LINCOLN WAY CHAIN OF CUSTODY RECO 1 <br /> nvironmental GARDEN GROVE,CA 9 28 41-1 427 DATE:ff <br /> aboratories,Inc. TEL:(714)895-5494.FAX:(714)894-7501 PAGE: OF <br /> LABORATORY CLIENT: CLIENT PROJECT NAME 1 NUMBER: P.O.NO.: <br /> SAIL <br /> ADDRESS: TRACY PUMP STATION/26011S154A-R10-410 <br />_ <br /> 1000 Broadway Ave,Suite#675 PROJECT CONTACT: LA8 CONTACT OR QUOTE NO.: <br /> OAKLAND CA 94607 <br /> CITY: STATE: ZIP: Justin Sobieraj Alan B.Kemp <br /> SAMPLER(S• IGNA 4p { ,� LAR USE ONLY'. <br /> TEL: FAX: E-MAIL: `` <br /> 510-466-7119 510-446-7919 sobierah'@saic.com <br /> Ly <br /> ©- ® <br /> TURNAROUND TIME: <br /> 13 SAME DAY ❑24 HR ❑48 HR ❑72 HR ❑5 DAYS 10 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 /> Ln m <br /> m v m <br /> LAB LOCATION/ SAMPLING NO. = W <br /> USE SAMPLE ID MATRIX OF x <br /> ONLY DESCRIPTION DATE TIME CONT. H d m <br /> I 193 <br /> t 3 r 1 • � <br /> GVW <br /> 16 - 3 <br /> 123 <br /> i - - 3v <br /> 20 <br /> Relinquished b Si ature Rece a nature) Date: Time: <br /> �. <br /> R ed b :( gnature) Receive :(Signature) Date: Time: <br /> .z - _k 3 <br /> Inquished b ignature) Received by:(Signature) Date Time: <br /> 55 / 3v w <br /> 02/24/10 Revision <br /> OD <br />