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i <br /> SPARGER TECHNOLOGY, INC. CHAIN OF CUSTODY RECORD <br /> Analytical Laboratory Phone (916)',:-- t7 C.O.C. No. 0 8 41 <br /> 3050 Fite Circle,#112 Sacramento,CA 95827 FAX 916 362-0947 Page of STAL Invoice Numbib <br /> Company.5*w 6*-T Phone 916 565-*X1376 ANALYSIS REQUEST <br /> Project Manager FAX$,l,7SGS y S4 REMARKS Sampler's Name <br /> Report Address Billing!Name&Address <br /> 132L Nt /�9�t2K�s�BLVD <br /> � T <br /> 540-AAVAJr0, All None Some <br /> Project IName �� V� Pro}ect/Job# I OK OK OK WET STLC <br /> Cooler Temp OC /0- <br /> Project <br /> Project Locate PQ# 9yo�3s Sample Condition / TCLP <br /> HE <br /> Preservative TCLP Total <br /> Sampling Container Used Matrix TAT <br /> r <br /> er <br /> r <br /> N <br /> Q d m Y <br /> O@ 0 cL p a@i <br /> J Z ® 'R @ <br /> y @ @@ @ m a L <br /> NO SAMPLE ID Date Time 4 Co p 1 z z° o` (on a o � • ' � <br /> ia:o#4 <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Reli ash by R8 lve <br /> E <br /> Date Time i Date �!�!J Time /74117 ,107Time . � <br /> 17ate(/ <br /> r PL&M RFWEV%W%SID TE�ANIdDIT" gig M <br />