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KI FF !� 2nd Street Suite 300 <br /> Davi <br /> Davis,CA 95618 �l 1 page of <br /> Lab: 530.297.4800 SRG#/Lab No. <br /> Analytical LLC Fax: 530.297.4802 <br /> Project Contact(Hardcopy or PDF To): Callfomia EDF Report? Ayes [-INoChain-of-Custody Record and Analysis Request <br /> Paul Anderson Cell# 618 406-0823 Analysis Request TAT <br /> Company I Address:PSC Environmental Services Sampling Company LogPCode: v o El210 West Sand Bank Road,Columbia,IL 62236 <br /> 12 hr <br /> Phone#: Fax#: Global ID: T0607700653 3 a <br /> (618)281-1543 (618)281-7020 m w ❑ o <br /> m . <br /> E <br /> T <br /> EDF Deliverable o( mail Address): m <br /> Ptect#: P.O.#: w 24 hr °' <br /> ro <br /> 62 ect#: -024522 panderson@12scnow.com <br /> PSSampler: m m m mN w? "a! fQ m m UJ <br /> ❑ <br /> roject Name: <br /> ara Lee-Lincoln Street(Well Installations) ,John Carr � H//i' w <br /> Q gghr to <br /> PContainer Preservative Matrix <br /> sampling <br /> rojectAddress: <br /> o <br /> w m o w $ v� O S y W Z ❑ <br /> 1444 South Lincoln Street, ° m <br /> m o o p a m q Q 72 hr <br /> Stockton, CA 95206 a as a a W "c a '8 S = 0 0 o f m <br /> a) <br /> > m m m d m m W Sr a m W 'm m ry S x m w o 0 ❑� <br /> U_ z_ in ¢ f m r h x 1 wk <br /> Sample Desl nation Date Time d N a c7 �' Z 3 <br /> 6/ X X X X X X C1 <br /> S(o.rj 23/09 $:y5 X x 1 <br /> - -MW-B-SU x x x x x x OZ <br /> s 173,os �'So 1 x x <br /> T raw-S' 3 <br /> CTirrry-8 �3.5-� <br /> 62T 09 8 5 1 x x x x x x x x <br /> -/�w- SD �8•S -� <br /> 6123 /09 Q:GYJ 1 <br /> X x x x x x x x 4 <br /> �)� X x x x x x x x 0� <br /> TMw-t3- /a.5'r�J 6/231 os -7,'05 <br /> 1 x x <br /> 6/23/09 4?- 1 <br /> 6/J3109 1 X X X X X X 0� <br /> rna _g Lip 33.5 35 9•'.�v x x x x x x x x <br /> x <br /> r w-8-� d8.5-y4 <br /> 6/2x3/os �;�� 1 x x x x x x <br /> � 61211 /09 9:35 1 X X <br /> ci-mrui 43.5 y� <br /> x x <br /> x x x x x x �O <br /> Remarks: <br /> Relinquisheeq by: Date Time Received by: <br /> �l�/pq <br /> 13!A <br /> Jr •Diesel and Motor Oil are with Silica Gel Cleanup. <br /> »Always sample from vial with least amount of sediment. <br /> Relinq by: Date Time Received by: <br /> Bill to: PSC Industrial Services,LP,210 West Sand Bank Rd,Columia,IL <br /> For Lab Use Only: Sample Receipt <br /> Relinquished by. Ti <br /> Date me Received by Laboratory: <br /> ��;� 2 Temp`C Initials Date Time Thenn.ID 4 cooleM rr«en <br /> �0/ Yes I No <br /> Distribution: While-Lab:Copy-Odglnator ( O t / Z5 o /t (yG (A - _/J/ S- <br /> Rev: 051805 J l� !C J ��[� L <br />