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Page 1 of 1 <br />`COC <br />Chain of Custody Record <br />Special Instructions <br />0 <br />Number APPL-0169 <br />ATTN: <br />Sampled by <br />Method of Shipment FED EX <br />Project Name Forward LF GTF <br />Project Number 353024.01.01.01 <br />Relinquished by <br />Tuesday, November 20, 2007 <br />Mqoow- <br />Project Location Manteca, CA <br />Project Manager John Burke <br />Turnaround Time 21 <br />days <br />4MH2MHILL <br />Task Order <br />Sample Manager Chris Green <br />QC Level 2 <br />Lab 1 # 1APPL I Lab <br />2 # <br />Project Forward Landfill GTF-Dec200 <br />(916) 801-3762 <br />For Lab Use <br />Sample Date/Time <br />Field ID Type Matrix # Containers Analysis Requested <br />Field Filtered Remarks <br />Labl. Lab 2 <br />03-Dec-07 <br />GWTF-EFL_1207 N GROUNDWATE <br />IZ•�'�' <br />R <br />3 <br />SW8260B <br />❑ VOAs (Use Table V analyte list in <br />D D <br />Purchase Order 919914. Do not analyze <br />for Ethanol, Tertiary Butyl Alcohol, or <br />Hexachloroethane). Rinse instrument <br />prior to analysis. <br />Total Containers 3 <br />03-Dec-07 <br />TB-504 TB WATER <br />`}j. $• 6� <br />1 <br />SW8160B <br />❑ Trip Blank - VOAs (Use Table V analyte <br />list in Purchase Order 919914. Do not <br />L1 <br />analyze for Ethanol, Tertiary Butyl <br />Alcohol, or Hexachloroethane) <br />Total Containers I <br />S natu res Date/Time <br />Shipping Details <br />Special Instructions <br />ATTN: <br />Sampled by <br />Method of Shipment FED EX <br />Relinquished by <br />Airbill No. <br />Sample Custody <br />Report Copy to <br />Received by <br />Lab Name APPL <br />and <br />John Burke/RDD <br />Relinquished by <br />Lab Phone (559) 275-2175 <br />Leonard Fong <br />(530) 229-3428 <br />Receive 12 �t �� <br />