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Kl FF O Davi 2nd Street Suite 300 <br /> Davis,CA 95618 <br /> Analytical LLC Lab: 530.297.4800 SRG#/Lab No. Page of 3 <br /> y Fax: 530.297.4802 <br /> Project Contact(Hardcopy or PDF To): California EDF Report? P1 Yes Chain-of-CustodyRecord and Analysis Request <br /> Paul Anderson Cell#(618)406-0823 No Y 9 <br /> Company/Address: PSC Environmental Services Sampling Company Log Code: Analysis Request TAT <br /> 210 West Sand Bank Road,Columbia,IL 62236 PSCI n <br /> Phone#: Fax#: Global ID: 12 <br /> (618)281-1543 (618)281-7020 70607700653 <br /> m 3 a r <br /> Project#: P.O.#: EDF Deliverable To(Email Address): °' w El p <br /> 62403335-024522Panderson@pscnow.com m oW 24 hr m <br /> Project Name: Sampler: y <br /> Sara Lee-Lincoln Street(Well Installations) Mike Leardi,John Carrow w m a a a o a o a m <br /> Project Address: Sam ling Container Preservative Matrix $ a m m w W w J a a W Fo w G 48hr `o <br /> 1444 South Lincoln Street, m` 'm m a v o o LL '!' m _ o `; a LL <br /> S anJ <br /> 0 <br /> N WStockton, CA 95206 F oOp <br /> 7❑2 h <br /> rO aa `° V o <br /> > w = O O a <br /> A <br /> E d �. O 2 W W }t Cb r W m m d m m a G <br /> 0 0 0 m U Z o U 'o "o m m r i 0 m m m o 0 o a a m W o 0 ❑' <br /> Sample Designation Date Time a m c c7 ti- = Z z 3 m ¢ 2 m r > > > k- r u- 3 r 2 1 wk <br /> CTm - a�0 6o-621.5 6/_;i5109 q:cio 1 x x x I x I x I x x x <br /> l ` <br /> 6/25109 q;/0 1 x I I X1 I x x x I x x x (Z <br /> 71.5) 6/;z5/os "25 1 x x x x x x x x <br /> DC7-mml -i,Zo (eC-S1,5 6/ 10910:00 1 x x x x x x x x j <br /> - C7-Mnw 9/>v (05-b&,45) 6/25/09 /0:/0 1 x x x x x x x x f S <br /> CTmw-9 7w (QD q/,S 962609 /p /( 1 x x x x x x x x (6 <br /> 7-7nw- _izo (�S 46.5 6/�6/09 /O:yS 1 x x x X1 x x x x <br /> /2,0 (/A2-7o/.S) sl;1S109 /:00 1 x x x x x x x x <br /> C7 mw-gazo(/05-/�(,5� 6/}5/09 //1Z01 x x x x x x x x <br /> fq <br /> - (-mui-q-i20 /l0 -/U.S � 16 09 //.'55 1 x x x x x x 4x x 2a <br /> Relinquished by: TIM Recelved by: Remarks: <br /> 5uf ?,3y 'Diesel and Motor Oil are with Silica Gel Cleanup. <br /> Relinquished Dale Time Received by: <br /> Always sample from vial with least amount of sediment. <br /> Bill to: PSC Industrial Services.LP,210 West Sand Bank Rd,Columia,IL <br /> inquished by: Dale crY� Time Received by Laboratory: For Lab Use Only: Sample Receipt <br /> (S)6Z 50 jg� �j /� _. � Q I I / Temp"C Initials Date Time Therm.ID# codmt Prssmt <br /> T" IVyI�Y,r,',t\ Yes / No <br /> Disldhulion. While-Lab;Copy-Originator <br /> Rev: 051605 <br /> 30 1 b0R1i1/& 3q1i4& 6 s <br />