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ILab nes menP083 dans rive <br /> Rancho Cordova 011017F, f OR <br /> CA Pho95670 <br /> e 9 61852 6600 CHAIN OF CUSTODY REWORD 0 3 2 6 9 CIRUClI C <br /> INS7RUC110NS <br /> .�. ,. Fax 96/852-7292 <br /> Ship To: f' Q T G c 1, ��fl I r,, '(of1 Project NameA �1 � ffORLABORATORY USE ONLY Analytics Moethods i <br /> Address: � � C 4131 <br /> C L G�T� I `t� 0 2 0� rr��G�p_ �/Y� Laboratory Project# �rJ� / 413 2 Long Method <br /> Project Number. T ,� � 4132 Short Method <br /> Storage Refrigerator ID Y I� -pz- 66 4181 Long Method <br /> G.<,C 11C, Project Locatioq: (Sts e. C- /tZ7 Storage Freezer I 4181 Short Melhod <br /> Sampler Name �r,*ure PPE Wom in field 3E <br /> 5031 <br /> 5242 <br /> r hed By / patefl"une Received By or Method of Shipment/Shipment I D Date/Iime sol <br /> rte / ` �� G} r o�S Cfl v . 3-` >� Od 602 <br /> soa <br /> Kcltnyuishcd By D te/rime ed By9 a of Shipment/Shipment I D ate/rime sos <br /> -3 -i3 J 2 00s10 <br /> Relinquished By at tme Received By or Method of Shipment/Shipment I D Date/Time 624 <br /> 625 <br /> W10 <br /> 6015 s <br /> Sample Dis sal r► ( ALYES IPQLJ TED ' 8015 Mod W_, -• <br /> (check on) Level of QC 1 ;❑2 ❑3 ❑4 ❑5 ❑6A ' + 1880020 <br /> (see Side 2) ❑❑6B ❑6C ❑6D ❑6E ❑7 Write to �,�`�` Sm <br /> Laboratory Standard Analysis Method 81000 <br /> _ � 8150 <br /> F1 Other Other SAMPLE INFORMATION <br /> 8240 m <br /> 8310 <br /> Description Acidity <br /> Container(s) \ y Nkalindy <br /> FOR LABORATORYOSFON�Y � <br /> Lab I© Sample ID Matrix Pres L� Chbnde <br /> Number Date Time Locator Depth # Type Type Type <br /> *AT �j r i CLP (sae Soda 21 <br /> I��SI-002 Z72- Z j =]j s j t Coo <br /> Color <br /> Conductivity <br /> 2 Corrosivay <br /> Cyanide <br /> Flashpoint <br /> 3 Fiuord <br /> 4 _ 7-2 `�7 ( General Mineral <br /> ( 4 ^d e r Her Chromium <br /> — y Ion Balance <br /> 5 <br /> Z (_ Metals(write specilic <br /> molal E method t1) <br /> 6 Z z Matals 6010 <br /> Metals PP <br /> 7 - 1 7 3 / Metals Tale 22 <br /> 8 w C y TTLC Level y /J STLC Levele"I <br /> I, (see Side 2) <br /> 9 Nitrate <br /> Narae <br /> 1 a Odor <br /> Org Lead <br /> !� r Z `)—Z - n ors Mercury <br /> Special[nstructionsJComments� O� G � ( G. �', ParoenlMoSture <br /> n Container Types A=1 Liter Amber TAT(Analytical Turn Around'Time) Peroerd Solid <br /> Z Z V IFr1/ CE B=Brass Tube C=Cassette 1 =24 hours 2=48 hours Perchlorate <br /> G=Glass Jar P=Polyethylene 3=1 week 4=2 weeks pit hates <br /> O--Other V=Voa Vial p=Other Phosphorus <br /> Sulfate <br /> Sulfides <br /> TOR LABPRATORY USE ONLY Sample Condition Upon Receipt-T62/7,0 6610,0 SEND DOCUMENTATION AND RESULTS TO(Checko TCLVOA <br /> Samrvoa <br /> IPTAK 7 Project Manager/Office ,�'� e, !lIJJJ Gam' Metals <br /> ❑ Client Name TDs Pesticide <br /> Total Hardness <br /> Company Total Sehds <br /> TPwo <br /> Address Cc 7 rss� <br /> TOWity <br /> Phone FAX Specdy Total or Dissolved <br />