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s � s <br /> ® STL Submission 200"a-W47 H2OGEOL A GROUNDWATER CONSULTANCY CHAIN OF CUSTODY <br /> GATE O6/ t 105 PAGE 1 of 1 <br /> P O BOX 2165 Sample Source 70607700320 <br /> Fuel Oxygenates by 82608 LIVERMORE CALIFORNIA 94551-2165 Former Donna Gardner Property <br /> 26056!16080 Thornton Road N <br /> H2OGeoI SAMPLER(S) Forrest E Lowe Thornton CA <br /> Atte Gary Lowe SAMPLER S SIGNATURE---TLr-1041� � ANALYTE <br /> PO Bax 2165 SAMPLE RECIEPT <br /> Livermore,CA 94551 2165 TOTAL No ofCONTMERS o°1r m <br /> Phone (925)373 9211 Fax ( ) F! o ut <br /> CHAIN OF CUSTODY SEALS <br /> X 9 Of <br /> Project Former Donna Gardner Property Received 08!0112005 16 150 m LU <br /> RECD GOOD CONDfTIONICOLD v '$ <br /> Site 26056!26080 Thomton Road N Thomton CONFORMS TO RECORD + d m 0 <br /> CA w <br /> LAS NO ¢ pa U <br /> ma N Q <br /> + LILL <br /> W W <br /> Legend and Notes c O u CD <br /> Result Flag m ,y m z <br /> eMalf h2oge&4pmmcast.rRa 5-Day TAT i m o <br /> OL °w � <br /> SAMPLE ID DATE TIME MATRIX LAB ID X <br /> R4 53fDGPRAW-3 07/31/05 Illy water X 4 <br /> RPD exceeded method control tarot %recoverieswlthm limits53mr-PNW4 07/31105 115.1 water X 4 <br /> I <br /> RELINQUISHED BY � RELINCIUISHED BY <br /> SIGNATURE�jJ�r SIGNATURE <br /> TIME TIME <br /> PRINTED NAME Forrest E Lowe PRINTED NAME <br /> H20C£OI DATE NyOCEOL DATE <br /> COMPANY Oat 105 COMPANY Oat 105 <br /> RECEIVED eY RECEIVED BY LABORA <br /> SIGNATURE SIGNATURE <br /> TIME TIME <br /> PRINTED PRINTEDNAME <br /> M20CEOL DATE DATE <br /> Severn Trent Laboratories,Inc O&MOD51746 COMPANY 081 105 coMPANY STL Sari Francisco 081 1 105 <br /> STL San Francisco 1220 Duafry Lane PleanaRton CA 94566 <br /> Tel 925 494 1919 Fax 9254&41096 www&U-ine ppm CA DHS ELAPS 2496 Page 7 orT <br />