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i i i i i i i low MSIDE <br /> i <br /> M vlronmental 3083 Gold Canal Drove <br /> Lab ratorle5 . Rancho Cordova E SIDE 2 FOR <br /> CA 95670 CHAIN OF CUSTODY RECORD 0 5 2 8 2 cT <br /> Phone 9161852-6600 INSTRUCTIONS NS <br /> Fax 916/852-7292 <br /> ' <br /> imon <br /> Ship To:� FOR LABORATORY USE ONLY Analytics Methods <br /> a O�� GvrC1 Project Name• � UDS' Cf <br /> .3G ��� ProjectNumber• p`f � ZOI �tOCa- LaboratoryPro�eu# �5�/ 4131 g <br /> Address, 413 z short AMileetthod <br /> / / Storage Refrigerator ID i _ 1161 Long Method <br /> R C4 COY pt:Q G� Project Location• (State) G� Storage Freezer ID <br /> 44 11 <br /> 5022 <br /> Short Method <br /> Sample U�� 6 atu PPE Worn m Field Z- Ctle 5031 <br /> �n 503E <br /> 5242 <br /> Re e � j z p r• �7�y T Received By or Mpth�of'Sh1p� tpment I D /��atefFxne 602 <br /> sol <br /> Relutqutshed By � D Dateflune Recetved�(9f Sh �, >�tene �61 <br /> 0 <br /> Relinquished By DaWTune Received By or Method of ShlpmentlShipinent I D Date rime 925 <br /> 8010 <br /> 8015 <br /> 8015 Mod <br /> Sample Disposal Level of QC 1 ❑2 ❑3 [-]4 ❑s ❑6A ANALYSES REQUESTED e <br /> (check one) <br /> (see Side 2) ❑6B ❑6C ❑6D ❑6E ❑7 Write in saoeo <br /> • Laboratory Standard Analysis Method 81000 <br /> ❑ other SAMPLE INFORMATION 82400 <br /> 4� 6310 <br /> Acidity <br /> Description Contamer(s) N J Alkalinity <br /> l ali ity <br /> FOR LABORATORYUSE ONLY Sample ID Matnz Pres Q D Chloride <br /> Lab ID Number Date Time Locator Depth Type Type TAT t^ CCoo(see Side 2) <br /> 192 '� z z 3 3 , W— r C /�¢ Conduchvity <br /> 2 2yyz3z z mde ' <br /> 3 Z V Z 3 FiuorFlasde nt <br /> 4 3 �� General Mineral <br /> Hes Chrorniumrruum <br /> �^ fon Balance <br /> S Metals(wntespecific <br /> 6 2 z 3 z s Metals s method 1r) <br /> 6010 <br /> Metals PP <br /> Z � Z p�C x Metals Tile 22 <br /> TTLC Level <br /> gZ TLC Level <br /> Z (see Side 2) <br /> Ndrate <br /> 9 Was <br /> Odor <br /> 10 P. Org Lead <br /> Org Mercury <br /> Cc/' <br /> M Special Instructions/Comments I' �'� e Z Z Percent MoistureContainer Types A=1 Ltter Amber TAT(Analytical Turn Around Time) Percent Sold <br /> eJe�ve i7 G B=Brass Tube C--Cassette 1=24 hours 2=48 hours PerchlorateanJ i10 2 G--Glass Jar P=Polyethylene 3=1 week 4=2 weeks Phosphates <br /> O=Other V=Voa Vial 0=Other phosphorus <br /> Sulfate <br /> Sulfides <br /> FOR LABORATORY USE ONLY Sample Condition Upon Receipt. Gel END DOCUMENTATION AND RESULTS T (C ck on ) CILVOA <br /> Project Manager/Office ��U G� 0 M a pe <br /> Pesticide <br /> ❑ Chent Name TDS <br /> Total Hardness <br /> Total SoTds <br /> Company 14 aTPHID <br /> , lTPwG <br /> ' Address TSS <br /> TurWrty <br /> Phony FAX Specify Total of Dissolved <br />