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Billing lnfonnation: - — --— — - — - ---- A Page: <br /> CHAIN-OF-CUSTODY RECORD rte' 1 or r . <br /> Alpha Analytical, Inc. <br /> WorkOrder : STR05041121 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> TEL:(775)355-1044 FAX:(775)355-0406 Report Due By : 5:00 PM On : 19-Apr-05 <br /> Client I Gowri Kowtha <br /> Stratus Environmental ;TEL: (530)676-6002 x <br /> 3330 Cameron Park Drive I FAX: (530)676-6005 ! EDD Required: Yes PDF Required:No <br /> Suite 550 ! EMailkowtha stratusinc.ne <br /> 9 @ <br /> Cameron Park,CA 95682-$861I Sampled by:Vince Z. <br /> -----�-�� ---- <br /> Report Attention. Gowd Kowtha Job: USA 65 Cooler Temp: — 4°C 11-Apr-05 <br /> CC Report: PO: Client's COC#: 0664$ <br /> QC Level: S3 = Final Rpt,MBLK,LCS, MSIMSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No.of Bottles 1ALCOHOL_ TPH/P_W voC w <br /> ! <br /> Sample ID Sample 10 Matrix Date ORG SUB TAT PWS# w Sample Remarks <br /> STR05041121-01AI MW-1 AQ 04/07/05 5 0 6 M�oHr HTXE/GASr azxE/Gnsr — — <br /> 46:46 EtOH 5oxys_C Soxys C <br /> ! ; <br /> STR05041121-02A MW-2 AQ 04/07/05 5 0 6 ; WOHr BTXEIOASr BTXEIGASIj ! <br /> DOH 50xys_C 50xys–C 1 I ! <br /> 06:17 <br /> STR05041121-03A� MW-3 AQ 04/07/05 5 0 6 WOHI BTxr/GASr BTxF/GAsrI <br /> M 09:22 EtOH 50xys_c 15oxys_C i <br /> r <br /> STR05041121-04AI MWS WOH BTXE/GAV BTxFJcAV AQ 04/47/05 ' S 0 6 EtOH 50xys_c 50xys_c ; <br /> 08:57 <br /> STR05041121-05A� MW-6 j AQ 04/07/05 S 0 6 ( McOH/ BTXE<GAsr BTXEicAV' — <br /> ! 48:29 I EtOH 50xys_c 50xys_c 1 <br /> STR135041121-06Aj MW-7 AQ 04/07/05 5 0 6 WON srxErcAV BTxFJGASI <br /> !!- 08:03 EtOH 50xy5-c 5axys-c I ; <br /> :STRO5041121-07A MW-8 AQ 04/07/05 ` 5 0 6 NWHI BTMC;A-'+ BTx�GASr <br /> I 45:30 - EtOH 50xys–C 5oxy5_C <br /> STR05041121-08A MW-9 AQ 04/07/05 'i 5 0 6 —HI BTXFJGASr BTXVGASI i <br /> 07:06 EtOH 50xys_c 50xys_c I I <br /> STRO5041121-09A! MW-10 AQ 04107/05 5 0 6 &OHI BTMGAS/ srxFJcAS/i i I <br /> I 07:26 EtOH 50xy:_c soxys c ! <br /> STR05041121-1 QA S-2 AQ 04!07105 ' 5 0 6 McOHI BTxE<GASI BTxE/GAsr ! <br /> l <br /> 04:41 EtOH _ <br /> 5oxysC 5nxys_c I <br /> I � � � ! ' <br /> Comments: Securi seals intact.Send copy of receipt checklist with final r ort.Saturday shipment,samples kept 4'C in secured area until logged in on Monday.Ca samples. <br /> Signature i Print Name Company j DatelTime <br /> -- - -- <br /> Received by: Alpha Analytical, <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: AQ(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Drinking Water) OT(Other) Bottle Type: L-Liter V-Voa S-Soil Jar O-Orbo T-Ted€ar B-Brass P-Plastic OT-Other <br />