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� i s <br /> Billing Information <br /> CHAIN-OF-CUSTODY RECORD Page - <br /> CA f oft <br /> Alpha Analytical, Inc. WorkOrder : STR03102342 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431 5778 <br /> Client TEL (775)355-1044 FAX (775)1355-0406 Report Due By . 5 00 PM On 31-Oct-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 ,lob 2007 0065/USA 65 Sampled by C Hill <br /> Report Attention Gown Kowtha PO Client's COC# 2421 <br /> CC Report Cooler Temp NA°C 23-Oct-03 <br /> QC Level S3 = Final Rpt,MBLK LCS MSIMSD With Surrogates <br /> Alpha Client Collection No of Bottles TPHIP_q voc_n Requested Tests <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# <br /> STR03102i Sample RemarksAR 10/22/03 1 <br /> 0 6 BTXE/GAS_ BrxFtGAs -T-- ---- i <br /> I <br /> 1404 05nxy5 G5uxys - Tedlar bag <br /> STR03102342-02A MID Air ' AR 10/22/03 1 1 0 6 aTxE/GAs_ sTxE/GAs <br /> I 14 02 GSoxys Cr5oxys Tedlar bag <br /> STI103102342-03A EFF Air AR 10122!03 f 0 6 erxi ows_ arxcAs_ <br /> 1400 ; C5oxys G5oxys Tedlar bag <br /> I <br /> Comments Custody seal No ice needed CA samples Send corly of recei t checklist with final re ort <br /> Signature <br /> Print Name Company <br /> 'DatelTime <br /> h Received by Alpha Analytical,Inc <br /> NOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples will be returned to client or disposed 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 GOC The liability of the laboratory is limited to the amount pard for the report <br /> Matrix Type AQ(Aqueous) AR(Air) SO(Soll) WS(Waste) DW(Dnnking Water) OT(Other) Bottle Type L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar 8-Brass P-Plastic OT-Other <br /> I <br />