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rr r �r r ri rr r r rr r rr rr r M r ir M <br /> CHAIN-OF-CUSTODY RECORD Page <br /> Billing Information 2 of 3 <br /> Alpha Analytical, Inc. <br /> P 3rd I Work4rder : KLF00102645 <br /> 1 255 Glendale Avenue,Stnte 21 Sparks,Nevada 89431-5778 <br /> TEL (775)355.1044 1 FAX (775)355-OMM <br /> Client _ - - - Report Due By : 5:00 PM On : 01-Nov-00 <br /> Klemfelder <br /> Company PhonelFax Secondary Phone/Fax <br /> TEL (209)948-1345 TEL i EDD Required 'No <br /> 2825 East Myrtle Street ; <br /> LFAX- (209)9484621 FAX _1 Sampled by J Liles 3764 <br /> Stockton,CA 95205 Job 20.2322-05 E01 <br /> Report Attention Joe Vies PO M, ItSClients COC# 2150 Cooler Temp -,4°C 26-Oct-00 <br /> QC Level 4 = Final Rpt, MBLK,LCS,MS/MSD <br /> r ------ — ��, Requested Tests <br /> Client Collection No of Bottles ; HOLD ��..s iawt~w 'rnt+d' s TPw?w voC„s voc w <br /> Alpha { Sample Remarks <br /> Sample ID Sample ID Matrix Date ORO SUB TAT PWS#4 ``r>q�d <br /> KLF00102645.09A #21867-GP11- SO i=3/00 1 0 <br /> 16 ft <br /> rpy/g BTXF1(iAS1 BTXFJGAS! <br /> KLF00102645-1 QA #19760-GP11 AQ 10/23100 4 0 4 a t�trBt <br /> 1120 1 -- l <br /> ,p}„B Br7i81f}AS1 1177ff1GA51 T� <br /> KLF0010264;11A #19759 GP12- SO 10f23/00 1 0 4 hrrs>3 ► aE Ik <br /> Oft 12QQ <br /> 'rpttlg BTXBK}AS! BTxF!(}A51 � w� <br /> FLF00102645-12A #1975&GP12- I SO 10 2` 1 0 4 �B MrBs -- - T � - <br /> 8 ft <br /> KLF00102645-13A <br /> -ii 9757-GP12- SO 1�0/23/00 1 0 4 ',Hold -- ---- -- - <br /> 12 ft _ <br /> w� <br /> �l � Hold <br /> KLF40102645 14A #19756-GP12-TSO 10123100 1 0 4 y I <br /> 16 ft I 1215 <br /> TpIB 111 All BTxFJ E <br /> Kt F00102645 15A #21866 GP12 AQ 10!23!00 4 6 4 MTBE NtrBa <br /> 1225 -� <br /> _ TpH/g BTxBfl3A5l B'rxF1GA5f <br /> KLF00102645-167 #21865-GP13-TSO 10 1240 <br /> 0 1 0 4 fi - MTBE -_- <br /> _ <br /> Comments Security seals intact,cubed tee frozen CA samples <br /> - -_ Signature Print Namt! -_ _ I_- Company Date/t im <br /> -- -] D <br /> Relinquished by� - - -- - - - - -- -- --- - /------ - ` <br /> Received by _ _ - -_ (f� __ - '✓-'- F — - co <br /> Relinquished by <br /> Received by __��_ <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 recelved by the laboratory with this CAC The liability of the laboratory is limited to the amount paid for the report <br /> Matrrx Type AQ(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Ddnking Water) OT(Other) Bottle Type L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />