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a <br />O <br />O <br />G) <br />O <br />J <br />(D <br />TestAmerica Pleasanton <br />1220 Quarry Lane <br />Pleasanton, CA 94566 <br />Phone (9251484-1919 Fax (9251600-3002 <br />Chain of Custody Record tlLdIIJIIIII IVI�61hI�IUlilIlt Testrnerica <br />illC l CADCP IN CNVIfl UHu[N iAL iC9 TINU <br />Client Information (Sub Contract Lab) <br />Samper' PM. amen Trachlaq Nb(sl'. <br />Sharma, Dimple <br />Phone 11,401. : <br />dimple.sharmaQa leslarnencahnc.com <br />COC No <br />720-27236.1 <br />CI,eM COMQC <br />Shippintl/Recamng <br />P." <br />Page 1 of 1 <br />Company- <br />Aquatic Testing Laboratories <br />Analysis Requested <br />Jab a. <br />720-69606-1 <br />Addis. Due Date Requested: <br />4350 Transport #107, 1119/2016 <br />f: <br />m <br />p S <br />Z <br />a y <br />i y <br />a. <br />eLI <br />'� <br />0 <br />; <br />as <br />I <br />I <br />f <br />I <br />I I <br />f <br />I <br />I <br />I <br />- <br />- <br />; <br />._ <br />• <br />IH <br />Preservation Codes: <br />A•HCL M-HnuN <br />B, "1011 N-Nl <br />C - Zn Acetate U -AsNa02 <br />D - Nitric Acid P - Na204S <br />E-W.M904 0 •Ne2S03 <br />F -MsOH R-Na2S2507 <br />G - Amcnlor S -H2504 <br />H - Ascorblc Aod T - TSP Dbdecabydrete <br />I - Ice U - Ac boe <br />J•Ol Wal, V-MCM <br />K - EDTA W - ph 4-5 <br />L - EDA Z - odee (spetlry) <br />Dater: <br />C„y TAT it,ii—ted(days): <br />Ventura <br />stww zip <br />93003__ _ — _ <br />C&9 300 <br />Ph.ne'. PO e <br />Emea woo <br />Pro)eq Name. PR gect a <br />UPRR-Oakland 72008330 <br />Snb 950Wa' <br />Sample <br />Sample <br />Sam N Identflcation -Client ID Lab ID Simple Date Tlma G- nab <br />Matrix <br />Spacial Inatructlons/Note: <br />mr..,.,A•Al <br />BIN MR 605 PL(720-69606.1) 1/6/16 0930 Solid <br />X1� <br />^T <br />Possible Hazard Identification Sample Disposal (A fee may be assessed if samples are retained longer than 1 month) <br />Unconfirmed Eij Return To Client 0 Disposal By Lab Archive For Months <br />Deliverable Requested: 1, 11. fit, W. Other(specify) Special InstruclionsIOC Requirements: <br />Empty Kd Reknquishe by: Dab: Time: W Chad or Siapnwl1 <br />Reenqushed by Dale/T •. Rec-6 by UateRMe. `I Company <br />t <br />Reib+qulshsd by Da T. cu n- a y Rarewed by Datart,me: Carpany, <br />tat, F" ors I-sr-/� o .� -l`rL <br />RaYngo,hed by Dalalrime' Company Received DatefT—: Cor ny <br />Curtody Seals Intact Custody Seal No. Coder Tem)wwaturq s) "C and Omer Romans. � <br />Yes h No <br />0 <br />