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Y <br /> Billing Infgrrnatlon: P . <br /> CHAIN-OF-CUSTODY RECORD CA age: i of 7 <br /> ' <br /> ----- - -Alpha Analytical Inc. - -- --255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 WorkOrder : STR05100703 <br /> TEL-(775)355-1044 FAX:(775)355-0406 Report Due By • 5.00 PM On • 17-Oct-05 <br /> Client: Gowri Kowtha . <br /> Stratus Environmental TEL: (530)676-6001 <br /> 3330 Cameron Park Drive FAX: (530)676-6005 RDD Required : Yes <br /> Suite 550 EMail gkowlha@stratusinc.net <br /> Cameron Park,CA 95682-8861 Sampled by:D.Foland <br /> Report Attention: Gowr!Kowtha Job: 2007-0065-1/USA65 Cooler Temp : n/a T Date Printed: <br /> CC Report: PO: Client's COC#: 06032 07-Oct-05 <br /> QC Level: S3 = Final Rpt,MBLK,LCS,MS/MSD With Surrogates <br /> —- Requested Testa <br /> Alpha Client Collection No.of Bottles TP"-A voc - <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS* Sample Remarks <br /> STR05100703-01A USA 65 A Int AR 10/06/05 1 0 6 ram-N/c srExroxY <br /> 14:3D <br /> STRO5100703-02AISA 65 A Sys AR 10/06/05 1 0 6 GAS-N!C $TFX/oxv <br /> !nf 14:25 <br /> Comments: Chain split into two separate work orders due to different TATs. Security seals ice n1a_ <br /> Signature Print Name I r Company ( DateMine <br /> - --- — .-_ ------�--- - _ -- J-- ----.—�1 - -- — <br /> Logged in by: '. $ ' S `�z,t tri` m 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 COC.The liability of the laboratory is limited to the amount paid for the report. <br /> Matrix Type: AO(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Drinking Water) OT(Other) Bottle Type: L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br /> I <br />