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SPARGiCTECHNOLOGY, INC. CHAIN OF CUSTODY RECORD <br /> Analytical Laboratory Phone:(916)362.8947 C.O.C. NO. <br /> 3050 Fite Circle,!1112 Sacramento,CA 95827 FAX:(916).362-0947 Page_L of STAL Invoice Number: ' <br /> Company: LCO(0 AJ phone: /6 gs,2 -9// 8 ANALYSIS REQUEST <br /> / 4 <br /> Project Manager: FAX: D f_Z —Q/3 Z REMARKS: C. S3 W 20 2. Sampler's Name: <br /> Report Address: Billing Name&Address: <br /> ,36 SvN2 LSE (3LVD �� . �F2r�EY <br /> 32 <br /> 41U046 (okdovA / All None Some <br /> Project Name: Project/Job#: OK OK OK WET STLC <br /> Ludt /,Ok ti T. _s T-4 om S S/Oct-- D 6-3 0 Cooler Temp. °C <br /> Project Location: Ro.#: Sample Condition TCLP <br /> H C <br /> Preservative TCLP Total <br /> Sampling Container Used Matrix TAT <br /> O N <br /> m � <br /> Cu rV <br /> O <br /> Goy z N <br /> O fn L <br /> p O _0 N 2 d V L <br /> ULA <br /> 7 <br /> 5 5 in o 4 N (1 V �, 41 t Tj N cc <br /> E 0 a a N uv'f ro U' U n b <br /> U 4 Cj 0 O 4 O O O <br /> T y" NO N p� 0,) amC <br /> moCCmw �o CO Gn co O m O m� Go mauZ <br /> CA J3 <br /> 00 <br /> ro <br /> E E z L- x b rQn O c <br /> N 0 -C - CJ__ d — L w w T ¢ ¢ ¢ ¢ ¢ ¢ ro L Q, C t ro <br /> NO. SAMPLE ID Date Time `' N 6 o m o 1 1 r1 w w w w w w o o v ¢ ¢ ; o <br /> z z O cn Q m m w w w w w w z p Ir U V m = <br /> 1 561- 1 Ir <br /> — <br /> 2 561 -7- <br /> 3 <br /> IS1 -7- <br /> 3 S61 -3 _ _ 12S1 <br /> a SQ 1--`f 130 -------- <br /> s - <br /> 6 582-( o - <br /> 7 S42-2 q3 7 _ <br /> 8 5B z-3 '!!!)qyz <br /> s SO 2-'f 9 qso <br /> IYA <br /> 10 S 2 S 100? <br /> Reli ui a Received,by, Relinguished by: Received by: <br /> D Z Time: Date: �� Time: 1.S '� Date: Time: Date: Time: <br /> PLEASE READ REVERS SIDE FOR TERMS AND CONDITIONS <br />