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483 Sinclair Frontage RoadCHAIN OF CUSTODY LAB WORK ORDER NO <br /> Milpitas,CA 95035 O U l O O <br /> Torrent Phone 4.263 8.5258 U <br /> FAX:408.263.8293 •N)TE:SHADED AREAS ARE-FOR TORRENT LAB,USE» ONLY', <br /> LnBORATORY, INC. www.torrentlab.com <br /> r Location of Sampling: <br /> Company Name:L' <br /> Purpose: <br /> Address: <br /> Zip Code: Special Instructions 1 Comments: <br /> City: State: <br /> Telephone: FAX' SAMPLER: P.O. EMAIL: <br /> REPORT TO: <br /> fk -� <br /> - SAMPLE TlPE:. REPORT FORMAT: N ANALYSIS <br /> TURNAROUND TIME: <br /> ❑ tO Work Days 0-3Wak Days ❑Noon-Nzl Day ❑Storm Water ❑ �' - REQUESTED <br /> ❑Air OC Level IV <br /> (j waste Water ❑Mer ❑EDF (-4_ <br /> L)7 Work Days L32 Work Days ❑2-8 Hours L)GroundWater L)Excel I EDD cl <br /> ❑5 Work Days ❑1 Work Day ❑Other ❑SOA s rS ,_ <br /> If- REMARKS <br /> DATE I TIME MATRIX OF CONT <br /> LAB ID CLIENTS SAMPLE_I.D. SAMPLED CONT' TYPE - <br /> r , 0 4 ko vies <br /> 5311 of <br /> 54A 01711 01811 i <br /> 01 2oH w <br /> 5511 02111, 022 0 <br /> 023A, O24R - 0 <br /> 025A, 02811 <br /> 5611 027 A 1, <br /> 02911, O <br /> 5711, 0314 032A <br /> 03311, 03 <br /> BSA 0354, 0364 <br /> 037 <br /> 59 A <br /> 0319A 0 wa A <br /> 604; _ o4lA, 042 <br /> 043A--04¢11 <br /> 6!11 • 04'5H, 0¢60 <br /> 0 0* <br /> 62-A mow. 0+9A, osdA _ <br /> D2 Date: Time: <br /> Print: Date: Tirrte: <br /> Received BY: Print:Relinqulahetl By: Dela: Time: <br /> � eceived BY: � <br /> Print: <br /> Relinquished By: <br /> Print: Date: TiTime: <br /> Samples on Ice? ❑Yes L) NO Method of Shipment <br /> Sample seals intact?L)Yes NO L) N/A <br /> Were Samples Re ived in Good Condition? ❑Yes ❑NO page of <br /> NOTE:Samples re discarded by the laboratory 30 days from date of receipt unless other artang. �ments are made_ "-.Date:,,,---- <br /> r--'— --�" _I Lin Reviewed BY:. ii _- -- -- <br /> Log lnBy: <br /> ` _ ._. Date::.___ __.___ <br />