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KI FF O 2795 2nd Street Suite 300 <br /> Davis,CA <br /> Analytical LLC Lab: 530.297.4297.4 800 SRG#1 Lab No. Page 3 of <br /> y 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 mn o ❑ <br /> Phone#: Fax M Global ID: m <br /> 70607700653 <br /> o s <br /> (618)281-1543 (618)281-7020 3 a 12 hr T <br /> Protect#: P.O.#: EDF Deliverable To(Email Address): v w El O <br /> 62403335-024522 anderson scnow.com $ < o N v ui 24 hr y <br /> Project Name: Sampler: a a m m m m w ry N m d _ a <br /> Sara Lee-Lincoln Street(Well Installations) Mike Leardi,John Carrow w o a. w :� v' m i ¢ E] J <br /> Project Address: Sam ling Container Preservative Matrix o o a a m ;, a ¢ =' ¢ 48hr <br /> oW ~GJZ <br /> Stockton, CA 95206 q pmmo <br /> 7Q❑21444 South Lincoln Street, a ¢ i <br /> h <br /> r¢O m <br /> E O= 6. x oin Om m m ° 1 wk mvSam le Designation Date Time Co a, Z 33 > > > <br /> (`f-MLL-q- 11J (/5-/h0.5 6/05109 //:6151121 1 X X I X X X X X X I 1 1 2- <br /> C-1-mw ti L20 (1;2C_1a/,5) 6/a5/09 /1:/0 1 x x x x x x x x ZZ <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 /> 6/ 109 1 X X X X X X X X <br /> 6/ 109 1 X X x X X X X X <br /> 6/ /09 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 /> _ las (� 1 x x x x x x x x <br /> Relinqui eded b Date Time Received by: Remarks: > >h le S <br /> CY—Mw-4 —f2p(li3 /16.5 �� � 2/L. '(ra,rjbNra <br /> 03s hcCw�..floe(l 'Diesel and Motor Oil are with Silica Gel Cleanup. <br /> 9.1 Kjl CrrpC(X1TA0gjlpsample from vial with least amount of sediment. <br /> IlRelKquished by: Date Time Received by: <br /> C0.11 Sokx co," `Ow Pse 6(4-- }a 2_-Zees w-ra <br /> 'o <br /> Bill to; PSC Industrial Services,LP,210 West Sand Bank Rd,Columia,IL <br /> Relinqui by: Date Time Received by Laboratory: For Lab Use Only: Sample Receipt <br /> /_.��r�/, I/;Z �/// Temp'C Initials Date Time Therm.ID# co .t vr...cr <br /> k�2-s 7 7 / !(/(//�h1 \ Yes / No <br /> Distdbulon', White-Lab;Cop,-Originator <br /> Rev: 051805 O 1 L 0 n (y& ( / e S <br />