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aiscience 7440 LINCOLN WAY CHAIN OF CUSTODY RECORD <br /> nvironmentai GARDEN GROVE,CA 92841-1427 DATE: <br /> J aboratories,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: TRACY PUMP STATION/26011 S1 54A-R10-41O <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 (SIGyATURE) - /' / Uk USE ONLYI <br /> TEL: FAX: E-MAIL: / d <br /> 510-466-7119 10-446-7919 sobieraa'@saic.com <br /> TURNAROUND TIME: <br /> ❑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 PAI-Is. - <br /> (f, <br /> m U) m <br /> C%1 <br /> N <br /> G <br /> W <br /> LAB LOCATION SAMPLING NO, <br /> = W <br /> ! <br /> USE SAMPLE ID MATRIX OF = <br /> ONLY DESCRIPTION DATE TIME CONT. CL <br /> a m <br /> I 3 <br /> y. r/. r <br /> 3 <br /> to 5 <br /> Relinquished b i Received by: ignature) Da / Time: <br /> VRel'itshed <br /> d by:(Signature) Received by:(Signature) Date: Time: <br /> � 25 3a *.00 <br /> by:( i nature) <br /> =e, y:(Sign ure) Datb: Time: IO <br /> 02/24/10 Revision O <br /> Cfl <br />