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Chain of -� I I <br /> clluali!nCustody Record �� ! 1 <br /> Services <br /> QUA-0149 <br /> Client Project Manager Date / Chain Of Custody Number <br /> SSCOR INTERNATIONAL INC TODD BROWN G ~ 6-1 � � 13470 <br /> Address Telephone Number(Area Code)lFax Number Lab Number 1 <br /> 1734 34th STREET 916-456-4333 FAX 916-456-0110 C6-03-048 Page_ of 1 <br /> City State .Zip Code Site Contact ,analysis <br /> SACRAK3NTO CA 95816 TODD BROWN 916-456-4333 B T M <br /> Project Name CarnarlWaybill Number <br /> 05748 / STOCKTON FEDERAL SIPR13S # 6 8 <br /> ConlractlPurchase OrderlQuota No !� <br /> ' <br /> WTI #13958 PACK IN WIT ICU SHIP 10: I UANTERRA ADSTIA G <br /> - Total Containers <br /> Sample 1 D No and Description Date Time Sample Type Volume Type I No Preservative Condition on Receipt <br /> KW-28 - Gg.o qJ WATER 40 KL GL1SVP 2 HCI &&P <br /> K41-21 I�'oo WATER 40 KL GLISBP 2 RCI Dir t- 11 I <br /> $W-29AS S WATER 40 KL GLISBP 2 U1 11 X <br /> Hil-30 ! VATBR 40 KL GLISBP 2 IRC1 I I X y <br /> -VA14p-- 40 K11 Hfflp Nei <br /> TRIP 81,ARX 03127/96 1I100 HATER 40 KL GLISEE 2 8C1 I I X <br /> Special Instructions <br /> Possible Hazard Identification Sample Disposal <br /> 5 Non-Hazard ❑Flammable ❑Skin Imiant ❑Poison B ❑Unknown ❑ReturnTo Client Disposal By Lab ❑Archive For Months <br /> Tum Around Time Required OCLevel Protect Specific(Specify) <br /> ❑Normaf o.j /,., [U Rush 7 DAY TAf ❑I ❑It Out <br /> I Rvhnquishe�BX, Date Time 1 Received By f Data Time <br /> Flt �t T: v ✓� (a , ct <br /> 2 Relinquished By / Date �j Time 2 Received By or f! Date frim{e { <br /> �' /L 11, -3 U l �7� 1 Srw 1 <br /> 3 Relinquished By f Date Time 3 ece ye Tim@r_, <br /> < <br /> Comments <br /> i <br /> i <br /> DISTRIBUTIONE Stays with Sample CANARY-Returned to Client with Report PINK-Field Copy <br />