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711 <br /> ti <br /> spa"Ja 3738 Bradview D"ve <br /> Tedhhology.k.. Sacramento,CA 95827 <br /> Lab: 916.369.7688 COC#1 Lab No. Page I of 1 <br /> Fax: 916-369.7689 <br /> Project Contact(PDF To): California EDF Report? Y-- ❑N. Chain-of-Custody Record and Analysis Request <br /> Tom Ballard(to email address:s) <br /> Company 1 Address- Sampling Company Log Code: Analysis Request TAT <br /> Taber consultants: 3911 West Capitol Ave. WRMC <br /> West Sa(xarnento,CA 96691 Global 10: 70607750084 <br /> Fax is: Company!Address: <br /> t. 13 <br /> 91"71_1690 916-371-7265 inbox TaberCogsultants.com 12 hr <br /> I <br /> P.O.#, 2A please email a copy to: <br /> Protect#: IL N <br /> w co <br /> ❑ <br /> 051111 SNessZTaberCo_nw%ants.coin a ti3 24 hr <br /> Project Name: Sampl atu m Lu 8 <br /> SIR R&L.Diesel <br /> ProlectAd0 " <br /> dress: Sampling Container Preservative Matrix - LL 48 hr <br /> ft <br /> 2417 WEST LANE, 0 <br /> Stockton, CA 95205 72 hr <br /> C6 <br /> C <br /> Z M <br /> 0 <br /> = M <br /> i5 0 5 .�= Q. , K I <br /> JJ <br /> Sample ID Field Point Name Dat f Time -V (1) CL 0 wk <br /> I- z co < 1-- <br /> 6-S,I I S_ %V,:;rf 10sq x x x I x I x X X n Xx I I <br /> Ars--24> 10_�r_ ItoI — <br /> x <br /> J X x <br /> a:�L-Jsr . 1 SAS- X <br /> -d x <br /> 1A X <br /> Relinquisheil Time Received by: Remarks: <br /> please save file(s),POPs,FDFXLS name as: <br /> 00 _montlh <br /> T�V ;ample date ear _daL o ect name WO# <br /> 995uishe-d bv: Date Time R EXAMPLE: <br /> pU <br /> :2009 04 20 S&R&L Diesel 12346 <br /> Dlrect Bill to R&L Dielsel Joe Rokoszewski <br /> Relinquished bv: Date Time Received by Laboraforv: For Lab Use Only: Sample Receipt <br /> Temp°C Initlsls Date Time <br /> 420=09 RaL Diesel c0C soil xis <br />