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SPARGECHNOLOGY, INC. A&D HAIN OF CUSTODY RECORD <br /> Analytical Iforatory Phone (916)362-8947 .O.C. No. 216 9 8 ,� <br /> 3050 Fite Circle,#112 Sacramento,CA 95827 FAX 916 362-0947 Page of STAL Invoice Numt <br /> Company ��� �rrv►�fi� 11(,cPhone ��� �ZDO ANALYSIS REQUEST <br /> Project Manager FAX REMARKS � J j 2,--V 1 dJ0 f oa11 ane, Sampler's Name <br /> Report Address Billing Name&Address �� Ja� n r `�6 �� <br /> 3VfV ani S6 Awe [a 6 � n m a <br /> (It Cs All None Some <br /> Protect Name ytin Ar �},te�Y, � ProlectlJob# �RA <br /> �� `04 o OK OK OKWET STLCCooler Temp C <br /> Protect Location PO# Sample Condition TCLP <br /> G� [& H <br /> Preservative TCLP Total <br /> Sampilng Container Used Matrix TAT <br /> LU <br /> L <br /> � r <br /> G In C L <br /> O p ep 00 Z N <br /> Y m y O a L <br /> V' y (O p p- OD <br /> m o V Cc 6 <br /> m L <br /> IOfi O 6 N N (J w m N <br /> 61 O <br /> Cn <br /> co <br /> a iNE fni (—`°D a N UN �ai YC <br /> V OidOOOOOOE) 06 <br /> A fb d Cn (M 0 <br /> 0 ` nn <br /> a) d vID <br /> � a z d o 0 0 o N N <br /> EE " ca co o D apo c u� <br /> caa uL <br /> fo <br /> a a a a 0 s <br /> W UJ <br /> oO , w a NO SAMPLE ID Date Time w w w w z O M U U 4 6 n <br /> cr = <br /> 1 X <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Reltn she du�?f Q� Received by Relinquished by Received by <br /> 9� I <br /> Da Time 6 '` Date S l 9 1 Time %yam Date Time Date Time <br /> PLEASE READ REVERSE SIDE FOR TERMS AND CONDITIONS <br /> I <br />