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r ws rs r •w r� r r r <br /> no no 1n1F r i r <br /> d <br /> KI FF O 2795 2nStreet Suite 300 44 <br /> Davis, 95618 // 3 <br /> Anal tical LLC Lab 530.297.4800 SRG#/Lab No b� Page / of <br /> y Fax: 530.297.4802 <br /> Project Contact(Hardcopy or PDF To): Caltfonnia EDF Report? EJ 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 o ❑ <br /> Phone#: Fax#: Global ID: 70607700653 <br /> (618) 281-1543 (618)281-7020 3 a 12 hr T <br /> Project#: P.O.#: EDF Deliverable To(Email Address): ❑ O <br /> 62403335-024522 anderson scnow.com N < o N N 24 hr <br /> Project Name: Sampler: o m m m m w m m a <br /> Sara Lee-Lincoln Street(Well Installations) Mike Leardi,John Carroww o e a a a in uN, o < a < ❑ <br /> Project Address: Sam ling Container Preservative Matrix v ® °" m W w w a a w e Q 48hr o <br /> 1444 South Lincoln Street, o e m r a o 0 o m a <br /> °0 w o o w 2 i3 i3 in <br /> o m a <br /> i m c a N Nm C ot• <br /> LL7 m Jm z <br /> Stockton, CA 95206 „ CR CW xO <br /> ❑E-1p a s f 72 <br /> h <br /> r <br /> > i O 0 <br /> > W rW 0 m v n F <br /> m U Wm Z o o - x 2 a o 0 1 wkSam le Designation Date Time r ra y ¢ ca > > <br /> 7-mw-q- t;z0 /:; -d. 5 6/15/69 ?'SS t x x x x x x x x <br /> mw-R_12 15 6/ 4/09 q:C7�- 1 1 x x x x x x x x CD-2- <br /> mw-q-12D ` 20 6/25/09 1 1 x x x x x x x x o 5 <br /> mw-q-Iu a5 X6.5 ) 6/,"5/09 g: ,O 1 x x x x x x x x �y <br /> T-mw-q-I-2-0 (3o-31.5 6/25/69 8;15- 1 x x x x x x x x nS <br /> ' 7-mw-q Il0C3s - •S 6/75/09 9:20 1 x x x x x x x x <br /> MW �t- 1 yc '//,S 6/25/09 8' 25 1 x x x x x x x x 3- <br /> r-wu -9 !x� `fs -y7�•5) 6/ 5/09 6:35 1 x x x x x x x x o� <br /> 6/.25/09 gays 1 x x x x x x x x o� <br /> q,1.70 55 - Sb S ) 6'X/09 9 55 1 x x I x x x x x X1 I I [o <br /> Relinquished by: \ Data Time Received by: Remarks: <br /> 1'1 3113 3 — •Diesel and Motor Oil are with Silica Gel Cleanup. <br /> ••Always sample from vial with least amount of sediment. <br /> Relinquished Date Time Received by: <br /> Bill to: PSC Industrial Services,LP,210 West Sand Bank Rd,Columia,IL <br /> Relinq fished by: Date Time Received by Laboratory: For Lab Use Only: Sample Receipt <br /> Am / Temp°C Initials Date Time Therm.ID# c.oi.ntrro..t <br /> VI\ Yes / No <br /> Distribution: White-Lab;Copy-originator <br /> Rev: 051805 t7 t L .0 0 n (NGS- <br />