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CHAIN OF CUSTODY <br /> -1 FED.E%TocBrps eotn.order convae <br /> 2105 Lundy Ave,San Jose,CA 95131 <br /> AC C U T E S T (408)588.0200 FAX:(408)588.0201 A<culat Does,F Acculeat NC Job If:C ^j53 a D Q <br /> L A B O R A T O R I E S '�EY1 GACA 135 _ C� W <br /> IBA a din n Orma IOr, _ prefect info,Tell., R ueated nal aleMatrix Godes j <br /> vn•/wall-.alar <br /> Company Nama Project Name: <br /> �a„��� —rnS t,zooLow— <br /> Address Slreel L•✓v Y� sw.wsvl— . <br /> ar,wWager <br /> sa sd+ <br /> City State K. City Slate <br /> as <br /> L <br /> Project Contact: Prol-0 (\y�l 1 lq-Non d <br /> Phone f EMAIL: ` <br /> �l AIR <br /> Samplars's Name / Cllenl Purchase Order f ^' (p.chk(PHdWdkq W.I. <br /> L. Affr7 6G O r to Only) <br /> Accutosl Collection Number of reserved Bottles <br /> Sample f of Q LAB USE ONLY <br /> ID Sam le ID!Field Point/Point of COIISClion Dale Time Sam ed D Malas bolues 13- <br /> �� — -y. �z Sr �+,. x I-to a 54" <br /> � xx v <br /> Ace{aFt Liner <br /> L <br /> kill- <br /> -g — / X w ¢ UQ A4 N <br /> —11,4 <br /> -9 IoA <br /> LM <br /> 3.i;a �21c1, <br /> Tv . In <br /> Tuma�ound Pm (Business tlays - - - Data Delivera6191ntorm•tbn Comments!Ramerke <br /> Standard TAT 15 Business Days APWovsd By>D•t•: Q Commercial Results Only 'f ip Bla•'ykS Qfty <br /> rte•} del Int co <br /> O 10 Day(Workload dependent) Commarclld-B.-ResuDs wtth OC summaries <br /> 5 Day(Workload dependent) Commerlcel-Be'-Results,OC,and chromatograms 3) 1 <br /> 1 <br /> C L ' <br /> 3 Day(115•/.markup) FDLTI-Leveledala package / <br /> O 1Day(150%markup) O EDF for Oeotracker O EOD Formal <br /> 1Day(200%markup; Provide EDF Olobal l0 <br /> Same Day(300%markup) Provide EDF Logcoda: <br /> Emergency T/A data available VIA Lablink , <br /> Sample Custodymust be documenled below sac tim am lea thane sses ,Anclu Ina courier delivery. <br /> Rellnqul by 5emplar: oats Time: �/ Received By: <br /> R—'—'x' <br /> «slued er RHI eY: D•le Tlrm: I$;p <br /> 1 2 °3 3 2 <br /> IlnauUheO by: <br /> DR <br /> He lime:' R«slued Y RHI bn oeb llmc R«Hvad By: <br /> 3 3 4 4 <br /> R,Ilnauished bY: Dale Tlme: ecalled ey: Cu,lodY eatF APproprlateeame/Pre, /N Hadapew YOnlc Y/ N Cooler Temp. <br /> LebN,m,t<n Cort/nN SeparsteR«Hvin9 check List u,ad:f­Y)N 3•bto•2=3.$�aD <br /> C15380: Chain of Custody <br /> Page 1 of 2 <br /> Mi 22 of 40 <br /> C15380 `eeoa<,ORie. <br />