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Morelia Avenue <br /> PleasTIC ant Hili,CA 94623 <br /> Phone: 925.602.4710 SRG is J L No. Page 1 of <br /> ENGINEERING Fax 925.602.4720 <br /> Project Name: Laboratory Chain-of-Custody Record and Analysis Request <br /> Sara Lee -Lincoln 8L McCampbell Analytical,1634 walaw Pass Road, <br /> Piltabu ,CA 877.252.9262 Analysis Request TAT <br /> Project Address. PSC Project Contact: <br /> 1444 S.Lincoln St. Paul Anderson (618)281-1543 <br /> Stockton, CA Email address: <br /> 12 hr <br /> n e n scn 0Dm <br /> Project#: Task#: Geotracker Global ID: S 24 hr z o c <br /> O N O <br /> TMSLLINI Q309 70607700653 ¢ W w^ o <br /> PO#: Sampler Slonature: <br /> 62403335 <br /> Se lin #of Contai rs Preservative Metrix a v�9, a '!' m _� 48 hr <br /> o a m w <br /> 72 hr <br /> Sample Number t Designation Date Time JE <br /> `d n 10 ' 16 r <br /> vo v r w =p (a] h _ O �' 4 O ® x pm o p }e ® m � R standard <br /> 0 —6 2 ® £ J V ZQf o = f £ G z N miD rl 0 F- W a5 2 2 2 W Z N d ttAA ,n JJ V n O Z ¢` Z u _. <br /> 7S 07 1XIx x x x x x I x A x -x <br /> MW 7D '« x x x x x x x I x x I x <br /> CT-MW-"7 t /sfc l516 x I x x x x x x x x I x <br /> CT-MW-9-120 X1 I I I Ix I x I x I x x x x y-- x x <br /> �_1 lioo x x x x x x x x -I- x x <br /> x #D .RI <br /> x x x x x x x <br /> PN IR Rs <br /> AT U E ER Danot <br /> rRearstkiened br Date Tome Received :. Remarks: <br /> Please provide PDF and EDF of the report. <br /> Bill to: Paul Anderson, PSG Environmental Services, <br /> 210 West Sand Bank Road, Columbia, IL 62236 <br /> Renu by, Date Time Recel" by: panderson@pscnow.com, Project#:62403335 <br /> Bill m: PSC Environmental Services <br /> Relfnquishell by: Date T'ane Received by Laboratory: For Lab Use Only: Sample Receipt <br /> Temp'C inwals Date Cadartirero"ar,r <br /> Yea ! !M <br />