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i <br /> r Page: <br /> Billing Information <br /> CHAIN-OF-CUSTODY RECORD CA <br /> Alpha Analytical, Inc. WorkOrder : STR05040620 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 8943 1-5 778 <br /> TEL:(775)355-1044 FAX:(775)355-0406 Report Due By : 5'00 PM On : 06-Apr-05 <br /> Client: Gowri Kowtha <br /> Stratus Environmental I TEL: (530)676-6002 x <br /> 3330 Cameron Park DriveEDD Required: Yes PDF Required:No <br /> FAX: (530)676-6005 <br /> Suite 550 EMail gkowtha@stratusinc.net Sampled by:D.troland <br /> Cameron Park,CA 95682-8861 -- <br /> Report Attention: Gowri Kowtha Job: 2007-0065-011 USA 65 Cooter Temp: 4°C 06-Apr-05 <br /> CC Report-- PO: Client's COC#: 06021 <br /> QC Level: S3 Final Rpt,MBLK,LCS,MSIMSD With Surrogates <br /> - _- - -- - ---- Requested Tests_ I <br /> F Alpha Client Collection No.of Bottles TPWP A voc-ATLL T f� <br /> ,F Sample 10 Sample 10 Matrix Date ORG SUB TAT PWS# Sample Remarks <br /> STR05040620-01A EFF ; AR 04/05/05 1 T 0 1 UTYJGA-51 BTx�GAS/ f ' <br /> 09:40 i 5oxys_C Soxys_C ! _ <br /> i <br /> Comments: SCCUTi seals intact ice frozen.Ca samples.Rush ASAP tat on last sample ochain.Coc was lit into two work orders due to difference in tat required.Send copyoffeccipt checklist with final <br /> re_ op rt.: <br /> Sig tore— PI rint Name Company _ Date/Time J <br /> Received by: _- rte_—__._._. AIpha Analytical,Inc. <br /> _J <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 /> Matri e: AQ(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Drinking Water) OT(Othe* Bottle Type: L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic Ther <br />