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N& = = = = = = = 4 <br /> BillingInform <br /> CHAIN-OF-CUSTODY RECORD Page <br /> 2of4 <br /> Alpha Analytical, Inc. WorkOrder : KLF00102624 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> Client TEL (775)355-1044 FAX (775)355-0406 <br /> Klernfelder Company Phone/Fax Secondary Phone/Fax Report Due By : 5:00 PM On : 01-Nov-00 <br /> 2825 East Myrtle Street TEL (209)948,1345 i TEL <br /> EDD Required No <br /> FAX (209)948-0621 ; FAX 9 <br /> Stockton,CA 95205 —' ` ----- <br /> Job 2D-2322-05 E01 Learner Go Sampled by L R <br /> Report Attention Joe Vies PO Client's COC# 19921978 <br /> Cooler Temp 40C 26-Oct-00 <br /> OC Level 4 = Final Rpt, MBLK,LCS MS/MSD <br /> Requested Tests ---- - <br /> Alpha Client Collection No of Bottles iFwu tangy w I-1p�s vwtTAV - <br /> KLF00102624-09A�j <br /> voc w <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# - <br /> 21262-GP3-W I AQ 11012001$0 6---1—0 4 rrws I 8 alx �� ___ I Sample Remarks <br /> 1I I Mrfx <br /> I KLF00102624-10A� 21263-GP4-5 I SO 10/20/00 1 1 0 4 iritis BTransr I <br /> TO-2 <br /> _ _ <br /> 1042 Me Mtbe <br /> KLt F001026 44-11A I 21264-GP4-10 SO 10/20/00 1 r 0 4 > erxaroAsr _— <br /> ___ I <br /> 1048 <br /> I ��� T v`? �� �Mcbe T <br /> Mtbc <br /> KLF00102624 12A 2126-6 GP4-W AQ 1 1012 2/a0 8 r 0 4 —��r;/1{- TpWE '� ['s.�� ------ 8 X�A <br /> GAO <br /> KLF00102624-13A� 2126-7-GP5.5 SOI 10/20/00 i 1 0 4 zrtr�s <br /> KLF00102624-14A i 21268 GP5-10 SO 1 0/20/00 1 0 4 11tws "ai5 a6 f a , J <br /> - 11 55 I '��` l I Mtbe Mtge <br /> KLF00102624-15A 21270-GP5-W AO 10/20/00 6 1 0 4 �xv <br /> at�orsr grxFJclsr <br /> _ _ I <br /> 1205 __ _ '?`,; i Mtbe Mtbe <br /> r KLF00102fi24 16A j 21271-GP6-5 ISO 110/20/00 1 0 4 7ptve ", arxsroAsr e , <br /> I -- 1 <br /> 1242 I ���r— __ '� Mtbe Mtbe <br /> Comments Security seals ice frozen in cooler California samples " <br /> _ N; <br /> Signature 1 y Ir Print Name <br /> Company Datelltme <br /> Relinquished by -- - <br /> Received by l 1 ��' k r. k < < Y W ! � h. <br /> r - v <br /> Relinquished by _- Y <br /> Received by p�" <br /> NOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples vAll 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(Arr) SO(Soil) WS(Waste) OW(Drfnking Water) OT(Other) Bottle Type L-Liter V-Voa S-Soll Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />