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j Page 1 of 1 Chain of Custody Record <br /> i <br /> COC Number APPL-0179 <br /> Project Name Forward LF GTF I Project Number 367254.01.01.01 Tuesday, September 23, 2008 <br /> Project Location Manteca,CA Project Manager Jeremy Higgins Turnaround Time 21 days 0142MHILL <br /> Task Order Sample Manager Chris Green QC Level 2 Lab 1# APPL Lab 2# LJ <br /> Project Forward Landfill GTF-4Q2008 (916)801-3762 For Lab Use <br /> Sample Date/Time Field ID Type Matrix #Containers Analysis Requested Field Filtered Remarks Labl Lab 2 <br /> 01-Oct-08 GWTF-EFL_1008 N GROUNDWATE <br /> R <br /> -- <br /> 1 E160.1 ❑ TDS <br /> 3 SW8260B ❑ VOAs(Use Table V analyte list in <br /> Purchase Order 925913.Do not analyze <br /> for Ethanol, Tertiary Butyl Alcohol,or <br /> Hexachloroethane).Rinse instrument <br /> prior to analysis. <br /> Total Containers 4 <br /> 01-Oct-08 TB-527 TB WATER <br /> 51, 1 SW8260B ❑ Trip Blank-VOAs(Use Table V analyte I'rte <br /> /) list in Purchase Order 925913.Do not L —J <br /> C� analyze for Ethanol, Tertiary Butyl <br /> Alcohol,or Hexachloroethane) <br /> Total Containers 1 <br /> Signa t res Date/Time Shipping Details ATTN: Special Instructions <br /> Sampled by _�J� } Method of Shipment FED EX <br /> Relinquished by ( Airbill No. Sample Custody Report Copy to <br /> Received by Lab Name APPL <br /> Relinquished b 'Lab Phone and Jeremy Higgins/RDD I <br /> 9 Y _ 559 275-2175 <br /> ( ) Leonard Fong (530)229-3366 <br /> [Received by - ------ -- <br /> --— <br /> ,�n --- ------ <br />