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# t 4 N L <br /> _ <br /> SAO LE CUSTODY 1 <br /> a <br /> L CLIENT CONTACT NAME HONE# 2 <br /> Water,& Hazardous Waste ADDRESS ` P4 �, CITY STATE/t z1P 339 /A <br /> Sampling,Analysis, &Consultation 1611 o, l v r Lp c-4 <br /> 1885 N KELLY ROAD • NAPA,CA 94558 BILLING ADDRESS PO It FAX PHONE 20 <br /> (707) 258-4000 Fax (707) 226-1001 1318 <br /> PROJECT q PROJECT NAME PLEB( NT SIGN NAM J <br /> # COMP <br /> DATE TIME CONTAINER ' Non or CALTEST <br /> SAMPLED SAMPLED MATRIX TYPE/AMOUNT PRESERVATIVE SAMPLE DESCRIPTION/SITE attest GRAB //////////REMARKS LAB# <br /> Tz i f j Z y" v o I't /V M L� I C� SCS Jts 4.,e 5�LtJ <br /> j Z 4 7 � ,� v n �•� ` "`'" sT <br /> 14 <br /> ? g�rXE�GS �X <br /> jZ°S7 _ 6� tQR f�a&0 <br /> r c- <br /> �� V 16 A)O �4 �s ,4 <br /> pAAA- <br /> co s� p,rt <br /> T <br /> AELI SHE Y /TIME RECEIVED BY RELINQUISHED BY DATE/TIME RECEIVED BY <br /> i <br /> rt< <br /> CONTAINER TYPES MATRIX <br /> 1 <br /> SHIPPING METHOD SHIPPING# RECEIVED BY DATEITIME CONDITION <br /> COLD YIN SEALED Y/N '�AL - AMBER LITER 0 - NondmkuxJ <br /> rWafer <br /> c INTACT YIN t1 AOL - 250 ml AMBER r Digested Metals <br /> AHL - 500 ml AMBER WW- Wastewaters <br /> REMARKS `� pM q �(5 Pt - Pint(Plastic) Non-DigestedMeta$s <br /> rN r LY HG - Half Gallon tPlastrc] FE - Lo*DLS Final Effluent <br /> ' Si - Sal Jar DW - Drinking Water <br /> " 84 - 4 oz BACT SL - SoitlSludgelSol d <br /> ST - Brass Tube AR - Air <br /> VOA - VOA 140 mt I IW = Irrtgation Water <br />