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Ovpartment of ToAcs Substances Control <br /> Environmental Chemistry Laboratory <br /> 700 Heinz Avenue, Suite 160,Berkeley, CA 94710 <br /> Phona: (910)5403111 Pax:(510)540.3615 <br /> ECS.SAMPLE RECEIPT <br /> Printed on, 1202018 10,23;34 AM <br /> Aulhortzation No.: 1eUotial Sampling Slim Thatcher era of California,Stockton <br /> Requestor. Anne Ekker _ —^- <br /> -- 1010 Industrial D6M <br /> Date Collaatad: 1112$!2018 Stockton,CA 95205 <br /> Date LabRecaived; 11128/2018 -- <br /> BCL No, Collector's Na, sampD44tlx Cantainortype Container Size "Iftfo Custody Baal $ample Action <br /> Seal Location Condition Taken <br /> BC00882 TM05 Liquld,Nor- clear glass jar 1(16 az) 400 ml Present TopofJar Acceptable <br /> Aqueous <br /> SC00889 TCU6 Wastewater clear glass jar 1(32 az) 950 ml Present Top of Jar Acceptable <br /> SC00884 TC$-07 Liquid,Non. clear glass jar 1(16ozj <br /> A--'. 400 ml Present Top clJar Acceptable <br /> BC00885 TCS*08 .Aquabus LtquEd„Plan• cleargias$Pr 1(16 wI) 250 ml Present Top of Jar Acceptable <br /> Comments; <br /> Sample(s)processed bri'E,�,r,stsea {a.latW+ 5ignatu � Date: UL/l frr$ <br /> SupeNsoes approval(if any action taken): Signature: Data: <br /> Page: 1 of 1 <br /> 07.014740 raVO 11V201# pacle 11 of 11 <br />