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�► r SAM& CUSTODY1911 F i W 1 <br /> ' � r mi CLIENT � CONTACT NAME PHONE# Z <br /> 339 1 11f <br /> Wtterr'&Hazardous Waste ADDRESS __ CITY STATE ZIP p ,� <br /> Sampling,Andlysis,&GOnsultatlor� 1 0. v L G <br /> 1885N kELLY(ROAD , NAPA,CA 94558 BILLING ADDRESS PO # L <br /> PHONE <br /> r (707) 58.4000 + Fax(707) 226-1001 ) <br /> a <br /> PROJECTII PROJE T NAME PLER IPINT SIGN NAM <br /> � 2 t 3r1 <br /> DATE TIME CONTAINER Non- COM CALTEST <br /> SAMPLED AMP MATRIX YPEIAMOUNT PRESERVATIVE SAMPLE DESCRIPTION/SITE Caltest GRAB REMARKS LAS# i <br /> ,�zs- Z w � <br /> v n -ce 9 <br /> H u I <br /> pp- <br /> - 8 X t9as <br /> 7 <br /> �z•sr s i3y tP Q�GO � <br /> I <br /> ' '4-r • • 16Ab bvi6 les 'n <br /> M tf <br /> c <br /> T1 L <br /> REL/ SHERELINUSHED& 0KIFITIME RECEIVED BY RELINQUISHED BY DATE/TIME RECEIVED BY <br /> L. • I <br /> b r <br /> i <br /> CONTAINER TYPES MATRIX <br /> SHIPPING METHOD SHIPPING III RECEIVED BY DATE/TIME CONDITION AL - AMBER LITER AQ - Nondnnkrng Water <br /> n COLD YIN SEALED YIN INTACT YIN <br />$ <br /> }�Q AOL - 250 ml AMBER Digested Metals t rip-MARKS ` � PM q '' `S PI L - 5 0 ml AMBER WW wastewaters <br /> Bested Metals <br /> - - - - -- — <br /> HG - Half Gallon jPlastrc) FE - Lo+�DLS Final EffluentQ t SJ - Sad Jar DW - Drinking Water <br /> �# 84 - 4 oz SACT SL - Sorl/Sludge/Solyd <br /> u BT - Brass Tube AR <br /> _ VOA - VOA(40 ml) IW - Irrigation Water <br /> OTC - Other Type Container Non Digested Metals J <br />