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r r = = = r r r r r r r r r r r r ar r <br /> KIFF ft Davis,s,CA 95618 5 2nd Street Suite 300 /�//meq/ <br /> Anal LI Cal LLC Lab: 530.297.4800 SRG#/Lab No. `� ` Page 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/Address:PSC Environmental Services Sampling Company Log Code: Analysis Request TAT <br /> 210 West Sand Bank Road,Columbia,IL 62236 PSCI a o ❑ <br /> Phone#: Fax#: Global ID: 70607700653 m <br /> (618)281-1543 (618)281-7020 3 a 12 hr <br /> T <br /> Project#: P.O.#: EDF Deliverable To(Email Address): m = w ❑ <br /> 62403335-024522 panderson@pscnow..com m to o W 24 hr y <br /> Project Name: Sampler Signature: <br /> Sara Lee-Lincoln Street(Well Installations) Marshall Lake, Paul Anderson w o $ a n a y e < S $ < ❑ 3 <br /> ProJed Address: Sam ling Container Preservative Matrixg m w w y - a a w `m Q 48hr o <br /> 1444 South Lincoln Street, o g m $ w m' o w W w - m a o u <br /> Stockton, CA 95206 m $ a a « A ° ? w z ❑ <br /> O <a a d w <br /> Dw E a@ <br /> OQ <br /> 72 hr <br /> > ul m O O <br /> 9 W N N m m m <br /> m am Z <br /> � m = ❑ <br /> > > 1wki. LU <br /> Sample Designation Date Time CO to ¢ 2 m vu) <br /> )" Al-% <br /> I�L�pp Sli�� 6/���/a/09 rO.US X w X X X X X X X <br /> 6/'{� XX X X X X X X 2- <br /> 6 09 <br /> 6/ 09 (p;'ip X X X X X X X X X Q3 <br /> �3- 6/109 °'.� !` X X X X X X X X <br /> ;}—n� s /os �;S$ �( x X x X x X X x <br /> r � �' Qv� U�t52'��'-->e�l s/_/os �1� 95 y x X X X X x x XOT <br /> 7TQW 2.3-2-1, 63""091,f60/ K X X X X X X X X1 1 107 <br /> 6/ /09 XX X X X X X X <br /> 6/ /09 X X X X X X X X <br /> — --H <br /> 6/ /09 X X X X X X X X <br /> Relinquished by: (/ Time Received by: Remarks: A a(! l k ��kNO IaJ <br /> "/301v? 1630 C..' l 'Die\s/el and Motor Oil are with Silica Gel Cleanup. <br /> Reli shed by Date Time Received by: <br /> Always sample from vial with least amount of sediment. <br /> f ,d5 <br /> (fir�(l. �`,1,4 c'.'i SGAc Cc S @G[, ryLNr.�� <br /> V itl. <br /> Bill to: PSC Industrial Services,LP,210 West Sand Bank Rd,Columia,IL <br /> Rellnquished by: Date Time Receiv by ra For Lab Use Only: Sample Receipt <br /> 300`( I b I <br /> Temp°C Initials Date I Time Thertn.ID# coasm vra.ws <br /> ` Yes / No <br /> Distribution: While-Lab;Copy-Originator <br /> Rev: 051805 <br />