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= = 4r = = M = = mob = = = = = M = 4r = <br /> Billing Information CHAIN-OF-CUSTODY RECORD Page <br /> 4 of 4 <br /> Alpha Analytical, Inc. WorkOrder : KLF00102624 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> TEL (775)355-1044 FAX (775)355-0406 <br /> Client - - -- - --- -`- '- Report Due By : 5:00 PM On : 01-Nov-00 <br /> Klemfelder Company Phone/Fax 1 <br /> [-- <br /> Secondary Phone/Fax2825 East Myrtle Street TEL (209)948-1345 ELEDD Required No <br /> FAX (209)948-0$21 AX` - - Sampled by L R <br /> Stockton CA 95205 Job 20-2322-05 E01 Learner Co <br /> Report Attention Joe Ztlles PO Client's COC# 1992,1978 Cooler Temp 4°C 26-Oct-00 <br /> QC Level 4 = Final Rpt, MBLK,LCS MS/MSD <br /> - µ Requested Tests <br /> Alpha ent Collection No of Bottles TPwe s TPS w TPS s TPI w voc s j voc-w -` <br /> Sample ID 'Sa pie ID Matrix Date ORO SUB TAT PWS# _ i Sample Remarks <br /> KLF0010262 5A" 1283-GP9-5- SO 10 4 500 1 0 4 -- TrtvB BT> �sr BTXW�sr <br /> Me <br /> KLF00102624 26A; 21284-GP9-10 SO 10/20/00 1 0 4 TP" BTXW" aTxEoAsr i ` <br /> 1500 Mtbe Mee <br /> [KLF00152624-27AI 21286-GP9-W I AQ i 10/20/00 fi �� 4-1 TP�B ' aT o�+sr aTx�c�sr - --- - f <br /> I 1515 f I Mtbe -w I W MEbe — <br /> i <br /> I <br /> Comments Security seals,ice frozen in cooler California samples <br /> Signature - --_-- Print Name <br /> Y7 Y j Company I Date/Ttme <br /> Relinquished by <br /> Received by l \ �l l r� s CC l J��C _ �'�t ' C! �{ r/�� /��r �C /r`c.��%[ r r �•�~ <br /> Relinquished by <br /> Received by <br /> NOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples wilt be returned to client or disposed of at client expense <br /> The report for the analysts 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(Sotl) 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 />