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KI FF O Davi 2nd Street Suite 300 — <br /> Davis,CA / q f G (� <br /> Analytical LLC Lab: 530.297.4297.4 800 SRG #1Lab No. Page of <br /> y Fax: 530.297.4802 <br /> Project Contact(Hardcopy or PDF To): California EDF Report? E, 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 o o <br /> Phone#: Fax#: Global ID: � 'me 12 hr <br /> (618)281-1543 70607700653 _ 3 ¢ , <br /> (618) 281-7020 <br /> Project#: El <br /> P.O.#: EDF Deliverable To(Email Address): m o w <br /> 62403335-024522 anderson scnow.com m g a o` v N 24 hr h <br /> Project Name: Sampler Signature: a a e m m m w < N m m > a <br /> Sara Lee-Lincoln Street(Well Installations) Marshall Lake,Paul Anderson w o m m a m o = J <br /> 8hrMaix 4 <br /> Project Address: Sam lin Container Preservative W W - u- <br /> o W a W =1444 South Lincoln Street, <br /> Stockton, CA 95206 m ¢ 0 y <br /> ¢ <br /> O < < < w a a o `� m m o v m A O 72 hr <br /> a W a c ¢ a m `0 'o <br /> > N l0 d d W W W C9 W m m O m O N F '6 r J D <br /> E v >. m D O ❑ W — m m x x Q 'm m m m A x x `m w <br /> Sample Desi nation Date Time o in a c7 rm- = x Z 3 in ¢ M 2 m m > > > ra- r u 3 ro t 1 wk <br /> _ W / r//os x x x x x x x x 01 <br /> s/ /0s x x x x x x x X <br /> 6/ /0s x x x x x X x X <br /> 6/ /09 X X X X X X X X <br /> 6/ /09 X x x x x X X X <br /> 6/ /09 X X X X X X X X <br /> 6/ /09 X X X X X X X X <br /> 5/ /09 x4fX <br /> x x x X X X <br /> 6/ /09 X X X X X X X <br /> s/ /09 x x x x x x X <br /> Relinquished by: Time Received by: Remarks: <br /> Diesel and Motor Oil are with Silica Gel Cleanup. <br /> Always sample from vial with least amount of sediment. <br /> Relinquished by: Dale Time Received by: <br /> Bill to: PSC Industrial Services,LP,210 West Sand Bank Rd,Columia,IL <br /> Relinquished by: Date Time Received by Laboratory: /,' For Lab Use Only: Sample Receipt <br /> Temp°C Initials J Date I Time Therm.ID# coaamvresent <br /> vG q, Yes / No <br /> eWnite-LaD:CoOY-Originator <br /> R , 05180180 5 ( �\� / P2vWSAwt PCvS <br /> ev. 0 / W <br />