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. � e <br /> Billing Informatii <br /> CHAIN-OF-CUSTODY RECORDPage <br /> - <br /> CA iofT <br /> Alpha Analytical, Inc. WorkOrder : STR03110544 <br /> 255 Glendale Avenue,Suite 21 Sparks Nevada 89431-5778 <br /> Client TEL (775)355-1044 FAX (775)355-0406 Report Due By : 5:00 PM On • 13-Nov-03 <br /> Stratus Environmental Gown Kowtha <br /> 3330 Cameron Park Drive TEL (530)676-6002 <br /> Suite 550 FAX (530)676-6005 EDD Required Yes <br /> Cameron Park,CA 95682-8861 Job IBC Stockton Sampled by Mike <br /> Report Attentlon Gown Kowtha PO Client's COC# none Cooler Temp 4°C <br /> CC Report 05-Nov-03 <br /> QC Level S3 = Final Rpt,MBLK,LCS,MS/MSD With Surrogates <br /> Requested Tests i <br /> Alpha Client Collection No of Bottles TPHIP-W voc_w I <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# v I i Sample Remarks <br /> STR03110544-01A MW 1 AQ 11/03/03 5 0 6 BTXElGAS BTxF/GAs_ ��----- �- -- — - --- <br /> 09 47 CIS.X - crsox,5 E <br /> STR03110544-02A MW-2 AQ 11/03/03 5 0 6 BTXFJGAS_ BTXFJGAS_ <br /> 1007 05nzys G50xy3 <br /> Comments Custody seal Frozen ice CA samples_EDF Global[D 70607700204 Send copy of receipt checklist with final report <br /> Signature g Print Name Company Datel`[')me <br /> Received by ,�_ <br /> Alpha Analytical,[nc tt " <br /> i <br /> NATE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples will be returned to client or dosposed of at client expense <br /> The report for the analysis of the above samples is applicable only to those samples received by the laboratory with this COC The liability of the laboratory is limited to the amount paid for the report <br /> Matrix Type AQ(Aqueous) AR(Asr) SO(Soll) WS(Waste) DW(Drinking Water) OT(Other) Bottle Type L-Liter V-Voa S-Soil Jar 0-Orbo T-Tedlar B-Brass P-PlastiC OT-Other <br />