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i <br /> 0 Sparger Technology Analytical LaIRra`t��BFFTECHNOLOGY ANA=Cr / <br /> 3100 FITE CIRCLE.SUITE 108 Owl�ff f/ 7 i S— <br /> SACRAMENTO, CA 95827 3100�4� '0 <br /> '�QcJ- AZ—f CHAIN OF CUSTODY RECCORD ' <br /> M �� Jcer — 1807 <br /> F1E;L�D SErCT1ON PCvJQt.•"y 1 ��Na L �_ �- 0 <br /> CLIENT NAME - VC / PROJECT ADDRESS Z I t-� LAT <br /> r ���[ � r� ' NilIIY�N $IIYs <br /> CRT SAMPLED 8Y P^ t' 1( � L�� CONTAINERS zw <br /> OBTAINED FROM /�f <br /> Ninr d4UNT1 Orpegvuan <br /> PRESERVATIVE USED STORAGE TEMPERATURE 0 Ambient N* C -10* C Other <br /> 0 HAZARDOUS15-NON-HAZARDOUS SPECIAL HANDLING INSTRUCTIONS <br /> FIELD REMARKS r — r7 I!f A2 <br /> O / v -r 2_ ` <br /> COLLECTOR DATE COMP GRAB PYPE FIELD STATION LOCATION /OF ANALYSIS REMARKS <br /> SAM ALE No ISaI DATA 1 Vsd deain.lie 1^ CONTAINERS REQUIRED <br /> V-IVIjz-r4��z I 41 o5gA <br /> • w- E I I I l y I <br /> -- <br /> IAf i 0�71�- U{,yQ� I �� I vl Ci I� 1► � l <br /> I I ✓ I I I _ , <br /> L6A- <br /> 5 -�� ✓ 1 5 I I I t1Gtb, )70,4 I 1 <br /> fa 072`41 1 <br /> 5W— I i v 1 1 1 1 'o�� 0'11k <br /> Aa <br /> i� <br /> Relessea by V Orgarwzajon DatelTlme _RecglsreU b►I Orgerurauon Datemme <br /> Rsleaseb by Orgartrsstlon DatafFlme Received by Orgarussuon DetwTime <br /> I <br /> Released by Orgenrtatlon Date/Time Received by Orgaru:anon OaterTime <br /> ILABOBaTORY SECTION <br /> J .", <br /> TEMPERATURE RECEIVED FEDX AIRBILL HAND DELIVERED <br /> I' <br /> ANALYSIS RECORD <br /> YPE OF PERFORMED BY DATE OF RECORDED COMMENTS <br /> ALYSIS (Signed) ANALYSIS (Lab Book NO ) <br /> � X-G _ 7,L! 7A T <br /> 1 ,,.•e i o <br />