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w r r r M r r r w M w = w r r r r w �■■ <br /> KI FF O Davi 2nd Street Suite 300 <br /> Davis,CA 95618 <br /> Analytical LLC Lab: 530.297.4800 SRG#/Lab No. `V V[ Page i of <br /> y Fax: 530.297.4802 <br /> Project Contact(Hardcopy or PDF To): California EDF Report? Dyes ❑No Chain-of-Custody Record and Analysis Request <br /> Paul Anderson Cell# 618 406-0823 <br /> Company/Address: PSC Environmental Services Sampling Company Log Code: Analysis Request TAT <br /> 210 West Sand Bank Road,Columbia,IL 62236 PSCI g o ❑ <br /> Phone#: Fax#: Global ID: T0607700653 12 hr <br /> (618)281-1543 1(618) 281-7020 m 3 a <br /> Project#: P.O.#: EDF Deliverable To(Email Address): m $ = w ❑ p` <br /> 62403335 -024522 t)anderson@l)scnow.com <br /> d a o N 24 hr d <br /> Project Name: Sampler: <br /> Sara Lee-Lincoln Street(Well Installations) Mike Leardi,John Carrow w e $ a a a H o a = < ❑ <br /> Project Address: SamplingContainer Preservative Matrix a o m W W „ a a = Fo m < 48hr o <br /> 1444 South Lincoln Street, u <br /> M <br /> w w m o w 8 `W3 O 5 uJ�i a 0 <br /> Stockton, CA 95206 m m m a "m $ $ o s W z ❑ <br /> .� <br /> < a a a w m >' i rn rn m o o m m 0 72 hr <br /> Oj w w w m a u v 2 O O <br /> > rn _m U• T W N W d 0 0 A q F Q <br /> 0 d W W x <br /> E m T at W m m m W S K a e ,y m N m Z 2 m W " O ❑' <br /> Sample Designation Date Time a m a° C7 _ = zo v 3 N a E f m vO, m J J >° > > LL 3 ~ x 1 wk <br /> 6/ =?/109 41`Y, 1 X X X X X X X X <br /> 6/ � /09 4l51 111 1 1 1 1X X X X X X X X Z <br /> C7- /30 7j /o. 6/ /09 ;�'p 1 X X X X X X X X p5 <br /> C7 ,'�c /ao-7n/, sr /os /n;, 1 x x x x x x x x 4 <br /> s/ J/os/a, 1 x x x x x x x x oS <br /> j—c-13C //o ///, S 6/ os�c 50 1 x x x x x x x x CC <br /> 6/ 09 D 1 X X X X X X X X �- <br /> _ 3� /zo- / _5) e l /09 x x x x x x x x <br /> _ v.'iy� 6/.'. /09 X X X X X X X X 0`( <br /> ti�� 6/�Vl09 x I x I I I x x x x x x fa <br /> Relinquishe by: Date Tme Received by: Remarks: <br /> C� 6/2 B9 31.,// •Diesel and Motor Oil are with Silica Gel Cleanup. <br /> o "Always sample from vial with least amount of sediment. <br /> Relm uis ed by: Date Time Received by: <br /> Bill to: PSC Industrial Services,LP,210 West Sand Bank Rd,Columia,IL <br /> Relinquished by: Date /y Time Received by Laboratory: For Lab Use Only: Sample Receipt <br /> Temp*C Initials Data Time Themi.ID# codam Present <br /> Yes / No <br /> DislnbWon: Whfte-Lab;Copy-Originator <br /> Rev 051805 (O I / o <br />