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Excelchem Environmental Labs <br /> RWQC Central Valley Project Trinkle <br /> 11020 Sun Center Dr 11200 Project Number [none] Date Reported <br /> Rancho Cordova,CA 95670 Project Manager Amy Terrell 11/30/11 13:27 <br /> SantlJile Iptcrit}' WORK ORDER ICU f �dG <br /> rrrtinn I �crm Plc Arr•i+•cTl Info. ----------- -"- - - <br /> Snntp L••I Hans Ptn•r CINTfc Ac' IIPS 1."Y' WAk-In 'E?(CELCHEM Courier Fcd-fix Others <br /> I rYn+Pru-rcLr to _lac•!"tacst f9 ox Hwid ' 11 <br /> Describe type..r Packinf;materinla: Bubble Wrap Fnnm I•acking Peanuts Paper Other <br /> I.1as ehit!v,fc prooc-.::begun'' V N Snmples Received- Chilled to Touch / Ambicry <br /> I Tcrnperature•01"Sarnplcg ("C): Ice Clicst'I'etnperature(s) ("C): - <br /> .S vCnUn 2- BnTtIC/Analysis Info. <br /> I>I-C7 all hollies nmive ubroken nrw intact? rCz w^ <br /> N` <br /> nCornmenm <br /> L.:7id !!_I bottle labels aFtree with CaOC? <br /> _«'ere correct ecntainers used for[he tests roquested" <br /> ,- <br /> Were correct Preservations u.-cd for the teats rCqueSTeIJ I - <br /> �'aa a rufftci sot amount of sample sent for tests incl icated' <br /> "here babhlcx present m VCJA Vinis9:(\+nlntile A4 eth Oda pu1vJ _ <br /> Sc'tion 3-CUC tnfo. <br /> Cumntercct L,a.J•r. -,� Com,lel <br /> _Yea Nu r_.unmin Yer �]r Cornmrntr <br /> Anal sis Re uested <br /> 'llatc Sampled /' Samples arrived est holdinC lime w <br /> _11:nn Samptcd --; Any hold times lase t}ttu, 72 hr:: -- <br /> f r. <br /> Neme <br /> --- - 1AI-- _-- �.__ ! Addrexi-I'cicnhonet/ <br /> Section-0- Cnmmen is:Ua.crcpancr cs <br /> _ac Cl.wr* notif,::d e:dr,:crenancies• �'cs No JhT%A% Notified by <br /> FtLunauoa>i Comments. <br /> Samples Labeled by. �"•' <br /> Label:; Reviewedby - - <br /> Bin Hs: SCJ <br /> COC Scanned/Attachotl hy: <br /> i Norm ccrmplcrted•i+v: . ! .0 I)ntc; -�� <br /> T1.2' <br /> -- Time: <br /> i <br /> Excelchem Environmental Lab. the moults)it this teporr appyv to the.raniples unal.L:ed to uccordance with the CHOP]of <br /> eunuch,document Phis anal tical repari mutt he repmduc•ed in its etuim(II <br /> Laboratory Representative <br /> Page 2 ori <br />