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l npbell Analytical, Inc. r-7, <br /> ill <br /> Port o(Al ockton Chain Of Custody Record 1 <br /> 110 2nd Ave.South,#D7 Send Invoice to: <br /> Pacheco,CA 94553-5560 Port of Stockton <br /> (925)798-1620 Department of Environment and Regulatory Affairs DATE;9!2312004 <br /> FAX(925)-798-1622 P.O.Box 2089 <br /> Stockton,CA 95201-2089 PAGE:1 of 1 <br /> Attn_:Rita Koehnen <br /> CONSULTANT COMPANY: SITE LecaUm <br /> WGR Southwest,Inc. <br /> ADDRESS: Port of Stockton UST Site No.3 <br /> 315 W.Pine Street,Suite 8 PROJECT CONTACT(Rq, Jlm Neal CONSULTANT PROJECT NO.: <br /> arv: <br /> Lodi,California 95240 SAMPLER NAME(S)(Pnntr <br /> lA93tJS bky-: <br /> TEL EP40NEFAX E-MNL: - <br /> (209)334-5363 (209)3345374 jgneai@wgr-sw.com <br /> TURNAROUND TIME(BUSINESS DAYS)' <br /> ❑10 DAYS E 5 DAYS ❑72 HOURS ❑48 HOURS ❑24 HOURS❑LESS THAN 24 HOURS REQUESTED ANALYSIS <br /> FIELD NOTES: <br /> SPECIAL INSTRUCTIONS OR NOTES: TEMPERATURE ON RECEIPT Ca - <br /> E <br /> n <br /> - o <br /> m <br /> O � <br /> to O <br /> F � <br /> L7 m <br /> ;:is Field Sample Identification SAMPLING MATIUx Ko.OF X � <br /> :giYyk: DATE TIME <br /> CONT. F m <br /> MW 3=1 <br /> - - X X -_ _ Container List <br /> 9123144 j, Aq, 3 <br /> ea.40 ml.VOA Vials with HCI <br /> MW 3-2 9123104 j .' , Aq. 3 X X <br /> MW 3-4 9123144 i2'3et i2' Aq. 3 X X <br /> MW 3-5 9123104 ' Aq. 3 X X <br /> MW 3-6 91231{}4 1 Aq- 3 X X <br /> I an ' Ag. 5X <br /> JX <br /> Rebnquisn :(Sgnalure) Recet etl ign of Dater Timer <br /> Relinqui5 :(Signature) Received b' S C4 <br /> y-( gnature) Date' . T3.e� <br /> Reirnavisl+M by:(signature) LtKewed by.(Signaf'—) Date: rime <br /> 9r_[n»4evisipn <br />