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M M M � ow M im M M M M M M M1 M M M hm M <br />....... ... . . ... . ........ . . .... <br />Pitjqe I of I <br />. ....... <br />Chain of Custody Record <br />COC Number APPL-01 70 <br />Project Name Forward LF GTF <br />Project Number 367254.01,01.01 <br />Thursday, -Janutuy 03 2008 <br />Project Location Manteca, CA <br />Project Manager John Burke <br />Turnaround Time 21 <br />days <br />4MH2nfiHILL <br />Task Order <br />Sample Manager Chris Green <br />QC Level 2 <br />Lab I ft APPL Lab <br />2 <br />Project Forward Landfill GTP -1Q2008 <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 />10 -Jan -09 <br />("MITF-El"I.—O I (IN N GROUNDWA'n-'. <br />;?1zk5 <br />R <br />1 <br />E160.1 <br />77)S <br />3 <br />.5114260B <br />VOA -v (G.Ve Table V unalYle list in <br />Purchase Order 919914. 1)0 1101 onUIV--e <br />for Filranal, Teritaty Bii{yl Alrnhot or <br />Ilexachlorvethane). Rinse instrument <br />Prior lo <br />Total Containers 4 <br />10 -Jan -09 <br />'I'll -518 'I'll WAI FR <br />1 <br />SIVS2608 <br />Trip Blank - VOAs (`V'se hible VanaNte <br />list in Purchase Order 91991-1. Do not <br />Ethanol, 7t rtieny BwYl <br />Aleohol, or llexachturoethane) <br />Total Containers I <br />Sign Date/Time Shipping Details <br />Sampled by <br />Method of Shipment FED FX <br />Relinquished by i,3 Airbill No. <br />Received by Lab Name APPI, <br />Relinquished by Lab Phone (S59) 275-2175 <br />Receive "r- <br />ATTN: <br />Sample Custody <br />and <br />Leonard Fong <br />Special Instructions <br />Report Copy to <br />John Burke,!RDD <br />(530) 229-3428 <br />