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f <br /> M vlranmental 3083 Gold Canal Dave <br /> lilt La tones Rancho Cordova SIDE 2 FOR <br /> �� CA 95670 CHAIN OF CUSTODY RECORD 0 5 2 8 5 COMPLETE <br /> Phone 9161852-6600 lN57"RUC17t7NS <br /> Fax 9161852-7292 _ <br /> p Gl u '�f dC,e qV O C/ FOR LABORATORY USE ONLY Common <br /> e <br /> + Ship To: �7? � ` `r Project Name: 1 Analytical Methods <br /> 3�a J �' Gs Pro a {D. a0! Laboratory Protea# �y jl 4131 Q <br /> 8 S 413 1 Lon Method <br /> Address' Project 4132 Shod Method <br /> Storage Refrigerator ID _ 41e 1 Long Method <br /> O , 7C I4 ClV Project Location: (Sta e) /-1/ Storage Freezer ID 448 f Shod Method <br /> Sam>,ler�Name' n ut, / V ( `' t PPE WoField <br /> o �5�- C/ 1/ celle 552az <br /> e S , Received By thoof SeWShtpment I D /Z. �teffyne601 <br /> 602 <br /> Relinquished By0 604 <br /> ED Date/r"vne Recetved B a�Sht I p �,D�telne sos <br /> oto <br /> 24 <br /> Relinquished By Date/rime Recetved By or Method of Shipment/Shipment 1 D Dateff mic 625 <br /> 8010 <br /> 8015 <br /> Sam j ANALYSES REQUESTED 801 <br /> Sample Disposal 2 3 4 [J 5 6A 5 Mod <br /> Level of QC YJ 1 ❑ ❑ ❑ ❑ W21 <br /> (check one) socio <br /> (see Side 2) ❑6B ❑6C ❑6D ❑6E ❑7 Write in <br /> l Analysts Method ��] 81100 <br /> Laboratory Standard '� <br /> also <br /> ❑ Other SAMPLE INFORMATION X \ 83 o <br /> 8310 <br /> Acedy <br /> Description Containers) <br /> Alinfly <br /> FOR LABORATORY USE ONLY <br /> Sample ID Matrix Pres O Chloride <br /> [Ab 1D Number Date Time Locator Depth # Type Type Type TAT 60 CLP (see Side 2) <br /> COD <br /> Color <br /> 1 8'51 -G6Z �" b- a Conductivity <br /> Cormrvdy <br /> 2 2 Cyanide <br /> Flashpoint <br /> 3 J Z& Fluonde <br /> 4 c`& ^ General Mineral <br /> G Hex Chromium <br /> Ion Balance <br /> s z Z 3 2 6 3 Metals(unite spealtc <br /> metal 6 method R) <br /> 6 -7 Z 3 Metals 6010 <br /> G. Metals PP <br /> 7 2 Z 3 L p7 MetalMC L nit <br /> sTLC Level <br /> 8 Nitrate, Side 2) <br /> 9 Waits <br /> Odor <br /> 14 arg Lead <br /> / Org Mercury <br /> (�7 Percent Moisture <br /> Special Instructions/Comments� Container Types A=1 Lits r Amber TAT(Analytical Tum Around Time) Percent Solid <br /> _ Perchlorate <br /> Z r r ep G� �'Cj�Cji�/C //J e? B=Brass Tube Cassette 1=24 hours 4=2gweeks <br /> �/!d `•G' Gr� t?,f r;1G (� a <br /> G--Glass Jar P=Polyethylene 3=1 week Phospates <br /> 0--Other V=Voa Vial 0=Other <br /> SuHate <br /> Su"ides <br /> FOR LABORATORY USE ONLY Sample Condition Upon Receipt 2! 0 SiSEND DOCUMENTATION AND RES TO h ck one TCLvoA <br /> ?�� AlrrQvldeES Project ManagerlOffice _. C� � G/7 M,I oa <br /> Pesticide <br /> ❑ Chent Name TDs <br /> Total Hardness <br /> Solids <br /> Company ly TP� <br /> TPWG <br /> r Address TSS <br /> Turbidity <br /> Phone FAX' Spicily Total or Dissolved <br />