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LSJ0ARGi:*ECHN0L0GY, INC. CHAIN OF CUSTODY RECORD <br /> Analytical Laboratory phone (9161362-8947 <br /> L, <br /> rite Circle, #112 Sacramento CA 95827 FAX (9101362-0947 <br /> Company APEX ENVIROTECH, INC . phone (916) 535-0200 <br /> ProjectMenager JEFFREY ROTHGERY FAX (916 ) 535-0207ll <br /> STAI. Invoice Number <br /> Report Address Bdlrng Flame&Address <br /> 7844 Madison Avenue , Ste 106 <br /> Fair Oaks , CA 95628 ANALYSIS REQUEST <br /> Project Nome D le-414t ProjectlJob A � Vv �� REMARKS <br /> CL'tQ- <br /> WET(ST <br /> LC1 <br /> 0!pC co <br /> Project Location /qA0 P% pO� YJTCLP <br /> a f Preservafte TCLP Total <br /> Sampling Container Used Matrix <br /> TAT <br /> � t <br /> N <br /> Q $ <br /> m 0 <br /> u7 m N (� N v <br /> c <br /> r m O V N <br /> 00 ° lA V Z <br /> co 0 r N = O vy m O 0. 7 <br /> O <br /> r 0 03 ° N <br /> N U L0 N N d (j w <br /> 0 q Y°m OO 0 c00 w �! O <br /> O CD 0 0 0 N Nn Co7 O� 0 <br /> VcN N ` _O o3 <br /> NCo00 n <br /> tL- 0000 " 046 '52 <br /> XXv . d o <br /> T <br /> SAMPLE ID Date Time dais <br /> aIL n,X Z O O m mw w w w w w z d xp <br /> 2 <br /> 111.t1-1 <br /> �w-Z of <br /> mow-3 Lid 0 ti .� <br /> ou_y '4 <br /> mw-7 r <br /> Ow-q ;.; <br /> Afu :] X � —1— --+--1�- ± <br /> T�C <br /> Re(rn[j r d t Recel d by Rehn Ish d/b� J I R%egy <br /> Date Time �j Z�j Date L 2°j (p Time ¢� 7i�/ Date 1 `1- C'� Trine U Date �� ,zq Trine 1'7 ,t 0 <br />