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Oge <br /> Billing Infoimattan� <br /> CHAIN-OF-CUSTOD �RECORD CA ,Gf 1 <br /> Alpha Analytical, Inc. WorkOrder : STR04061725 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 84431-5778 <br /> Chant <br /> TEL (775)355-1044 FAX (775)355-0406 Report Due By . 5.00 PM On : 25-Jun-04 <br /> - <br /> Stratus Environmental Gown Kowtha <br /> 3330 Cameron Park Drive TEL (530)676-6002 <br /> EDD Required Yes <br /> Suite 550 FAX (530)676-6005 <br /> Cameron Park CA 95682-8861 Job 2033-15600-011 Joe's Truck Plaza Sampled by MW Morgan <br /> Report Attention Gown Kowtha PO Client's COC# 07991 Cooler Temp 4°C 17-Jun-04 <br /> CC Report <br /> QC Level S3 = Final Rpt,MBLK,LCS,MS/MSD With Surrogates <br /> Requested Tests ---- <br /> Alpha Client Collection No of Bottles TeiuP_A voc a T--F- ]--j <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# _ _ Sample Remarks <br /> STR04061725-01A inf Air AR 06/16/04 1 0 6 BTxFJGAsf BTXWGAsr � Tediar <br /> STR04061725-01 lnf Air <br /> I 11 05 Mlhc_C Mabe-C I ----- - -� <br /> STR04061725-02A Eff Air pI AR 06/16/04 1 0 6 BTxrJGAS/ BTXUGASr Tedlar <br /> ! 1 1107 Mthe_C Ml6e_C <br /> it <br /> I <br /> Comments Security seals intact ice frozen Ca samples Send copy of receipt checklist with final report Sample#02 Tedlar is almost empty <br /> Signature Company <br /> printName Date/Time <br /> - <br /> y _ - r r Alpha Analytical,Inc �Q'1(�Q� <br /> Received lr P Y + <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(Sod) WS(Waste) DW(Dnnking Water) OT(Other) Bottle Type L-Liter V-Voa S-Sod Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />