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Kltical u c 2795 <br /> e s,CA Street <br /> 58 6Suite 300 S / <br /> Lab: 530.297.4800 SRG#!Lab No. <br /> r I 6 Page 1 of 1 <br /> Fax: 530.297.4802 <br /> Project Contact(Hardcopy or PDF To): Paul California EDF Report? Eyes ❑No Chain-of-Custody Record and Analysis Request <br /> Anderson,PSC Environmental Services <br /> Address: 210 West Sand Bank Road Columbia, Sampling Company Log Code: TMSLLIN1,Q110 Analysis Request TAT <br /> IL 62236 s o ❑ <br /> Phone: (618)281-1543 Fax:(618)281-7020 Global 10: 70607700653N m a m 12 hr <br /> ® w $ a <br /> Project#: 62403335 P.O.#: EDF Deliverable To(Email Address): m 4 w ❑ O <br /> PSC-62403335 panderson@jpscnow.com S a o ; m 24 hr j <br /> Project Name: Sara Lee-Lincoln Sampl r Signature: m m w n o u n <br /> at g o o a io n m Q �' ❑ <br /> ' a <br /> 48h <br /> r <br /> Project Address: Sampling Contain PreservatiMatrix S ® v <br /> u <br /> m caad m n 1444 S Lincoln Street $ W W 0 w —O EE]0 mm o <br /> Stockton,CA > ° md o a = 72 hr <br /> > <br /> w w m mZ O O <br /> e N <br /> ILL ba s 1— Cm iuroc N mm r ° L'! <br /> to <br /> > 1 wk <br /> Date Time rSample Designation <br /> TX-MW-8-50 m! /2-/Q 1#10 4 X I 1XIX. X. xl X <br /> TX-MW-14-49 /`a-V 4 X X1 I IXiXIX IX1 1 2 <br /> TX-MW-21-80 %� 4 X X X X X X �� <br /> Relinquished by Date Time Received by: Remarks <br /> Relinquishe y: Date Time Received by: <br /> Bill to: PSC Environmental Services,210 West Sand Bank Road,Columbia,IL <br /> a <br /> Relinquished by: Date Time Rece' L o ry: '/—� For Lab Use Only: Sample Receipt <br /> N /U` <br /> b113 10 1430 ( Temp*C I Initials Date Time Therm.ID# ooaar,<P.esee <br /> o A nQ [q' Yes / No <br /> fJ Distribution. White-Lab,Pink-Originator <br /> Rev: 051805 <br />