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KI FF O Davi 2nd Street Suite 300 <br /> Davis,CA 95618 E/J Z of 2 <br /> Lab: 530.297.4800 SRG#/Lab No. Page <br /> AnalytlCal LLC Fax: 530.297.4802 - <br /> Project Contact(Hardcopy or PDF To): California EDF Report? ❑, yes ❑No Chain-of-Custody Record and Analysis Request <br /> Paul Anderson Cell # 618)406-0823 <br /> Company I Address: PSC Environmental Services Sampling Company Log Code: Analysis Request TAT <br /> 210 West Sand Bank Road,Columbia,IL 62236 PSCI v -. ❑ <br /> Phone#: Fax#: Global ID: 70607700653 a 12 hr a <br /> (618) 281-1543 (618) 281-7020 a m w 0 o <br /> Project#: P.O.#: EDF Deliverable To(Email Address): Y <br /> 62403335-024522anderson scnow.com m m m o ° f w24 hr y <br /> $ ro a ku <br /> Project Name: Sampler: / < a m <br /> John Carrow !1/ a s a N S a S'• < ❑ <br /> Sara Lee-Lincoln Street(Well Installations) ei7t/aCvy/ tL w w "' S o. o. aF0 z <br /> Project Address: Sam lin Container Preservative Matrix a a a w `n ¢ 48hr t° <br /> 1444 South Lincoln Street, m $ m w m w 8 O 5 w Z ❑ <br /> Stockton, CA 95206 = 3 .� m <br /> a s a w w m i i m �2' °i m o m n a 72 hr <br /> a T O O C f m J <br /> O w �!+ xx m a w e rn m m n m ro F; D <br /> of m p ro mmoz- Z-1. <br /> 03 o �- r l- a O m m m Sam le Desi nation Date Time f to a c0 r3 rn ¢ f m r- '^ r > > > LL 3 l' = 1 wk <br /> CT m — -'BU 53.5-55 61231 os g.' 1 xCT x x x x tXX <br /> s los 1 x x x x x xxmtu- _ l5-�5 23 /o:a5_ _6be.5_7� 61�33�109 a35 1 x x x x xx x t13 <br /> PC �3•�'TS 6177109 /0,SO 1 X X X X x X X x l <br /> 78,5-So 6127Jos //-co 1 x x x x <br /> 6/ los 1 X x X x x x x x <br /> 61 /09 1 x x X X X x x x <br /> 61 los 1 X x x x x x x x <br /> 6/ /09 1 x x x X x x X X <br /> 6( 109 1 x x x X X x x x <br /> Relinquished Dale/ / Time Received by: Remarks: <br /> rTime <br /> Diesel and Motor Oil are with Silica Gel Cleanup. <br /> Always sample from vial with least amount of sediment. <br /> Relmq he by: Date Received by: <br /> BIII to: PSC Industrial Services,LP,210 West Sand Bank Rd,Columia,IL <br /> Reli uished by: Date ,.yJReceived <br /> by Laboratory: /'��}I, Ir For Lab Use Only: Sample Receipt <br /> 2 3�1 tJ �"�Y " C'�\ <br /> Tamp"C Initials Date Time Thenn.ID It toes Pre.am <br /> Yes 1 No <br /> Distribution: White-Lab',Copy-Originator n / <br /> Rev: 051805 <br />