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SPARG 7TECHNOLOGY, INC. C; CHAIN OF CUSTODY RECORD <br /> Analytical laboratory Phone:(sts)362-8947 C.O.C. NO. �" ,-) Il i-) J Z <br /> 3050 File Circle,#1 12 Sacramento,CA 95827 FAX:(9 t6)362 0947 Page 2— of Z STAL Invoice Number: ' <br /> Company: Phone: _ ANALYSIS REQUEST <br /> - -- GcoC�� -- - - -- <br /> Project Manager: FAX: REMARKS: Cr jj 41--02 Sampler's Name: <br /> Report Address: Billing!Name 8 Address: E4�M <br /> All None Some <br /> Project Name: Project/Job#: OK OK OK _WET STLC <br /> -s g l oo _ Ob _'3b Cooler Temp. °C <br /> Project t-ocatiow p0.#: Sample Condition TCLP <br /> H ? <br /> Preservative TCLP Total <br /> Sampling Container Used Matrixco TAT <br /> o L <br /> N <br /> co � _ <br /> C O <br /> _ C lf1 _ G <br /> 0 N V <br /> O 2 in c6 z N <br /> m N <br /> O a 41 O 1 <br /> N � N .0 N Y a o <br /> C) [� N U Coto CL <br /> "? I> V <br /> 5 en O O N 0) V v to 47 N cr <br /> tL / <br /> yNO 6 0. a _ a VU>d <br /> O Q _ � zCC <br /> O O O 0)UO d _ NN 2 <br /> d0 v) Do <br /> 00 N o d to CO a) <br /> E YU OON 'D <br /> O <br /> z E ° (° to (N° 0 a teE tU <br /> m <br /> o L L — C w <br /> w Z <br /> NO. SAMPLE IDzolfr <br /> Date Time V o a Q Q Q oc <br /> O z z O Q Q <br /> o p-J <br /> 2 <br /> 3 <br /> 4 � - - <br /> 5 <br /> 6- <br /> 7 <br /> t3 <br /> 9 _ <br /> 10 <br /> Relingu' t y: Receiv`edby: Relinguished by: Received by: <br /> K <br /> Dater Time: jUz � I <br /> Date: Time: Date: Time: Date: Time: <br /> LEASE READ REVERSE SIDE FOR TERMS AND CONDITIONS <br />