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Billing Information CHAIN-OF-CUSTODY RECORDCA Page • ; <br /> 7of2 <br /> Alpha Analytical, Inc. WorkOrder : STR05031071 <br /> 255 Glendale Avenue,Suite 21 Sparks Nevada 89431-5778 <br /> TEL (775)355-1044 FAX (775)355 0406 Report Due By : 5:OO PM On : 18-Mar-05 <br /> Client Gown Kowtha <br /> Stratus Environmental TEL (530)676-6002 <br /> 3330 Cameron Park Drive FAX (530)676-6005 EDD Required Yes PDF Required No <br /> Suite 550 EMailkowtha stratusmc net <br /> 9 @ Sampled by V Zalutka <br /> Cameron Park,CA 95682-8861 <br /> Report Attention Gown Kowtha Job Joe's Truck Plaza Cooler Temp 4°C 10-Mar-05 <br /> CC Report PO Client's COC# 06719 <br /> QC Level S3 = Final Rpt MBLK,LCS MSIMSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No of Bottles ALCOHOL_ TPHIE_W TPHIP W voc_w <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# W j Sample le Remarks <br /> STRO5031071-10A MWO-3 ; AQ 03/09/05 j 8 0 6 WOHIEM TPruE_C GAS C HTEVOXY! <br /> 10 36 ELBA s j <br /> DCA_C <br /> STR05031071-11A MWO-1 AQ 03109/05 1 8 ❑ 6 1 McOWE10H TPWE_C GAS c I BMW"' I <br /> 1101 j EDB/1 2 l <br /> DCA.0 <br /> I <br /> Comments Security seats Frozen lee Sample dates are listed on client chain as 219105-logged in as 319/05 <br /> Signat r ' Print Name Company �%at Orme [J!� <br /> Received by <br /> nom' Alpha Analytical,Inc <frulilltJ <br /> - 111 x�� x «r rrF u Q� <br /> NOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples will be returned to client or disposed of at client expense <br /> The report for the analysis of the above samples is applicable only to those samples received by the laboratory with this COC The liability of the laboratory is limited to the amount paid for the report <br /> Matrix Type AQ(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Dnnking Water) OT(Other) Bottle Type L-liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />