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Lz--Torrent <br /> LABORATORY, INC. <br /> inclair Frontage Road <br /> Torrent <br /> Phone:408.263.5258 63.52 CHAIN 4F CUSTODY LAB WORK ORDER NO <br /> Phone:448.263.5258 <br /> FAX:448.263.8293 •NOTE:SHADED AREAS ARE FOR TORRENT LAB USE ONLY• f �} l <br /> LABORATORY, INC. Www.torrenllab,com <br /> Company Name: Env.QSpecial Project#: j3�5� pp`z ,©OPOM <br /> Address: (0 7 qq San (b P -d i rp — Project Name: A d m t m l S C Ve- <br /> City: S'a a'p� State: Zip Code: Q S I f C� Comments: <br /> Telephone: Cell: Ck 1s.'j gc.—'j Q5 J SAMPLER: J%kAAK Quote#: <br /> REPORTTO: D,'l] q BILL TO: a-V EMAIL: qr c'� ei) ,Goya G p6sa'-\ <br /> TURNAROUND TIME: SAMPLE TYPE: REPORT FORMAT: q <br /> �I Level II-Std. <br /> ❑10 Work Days ❑4 Work Days Q t Work Day [J Storm Water D� Air La Excel-EDD J � ANALYSIS <br /> Waste Water L.r Wipe EDF Std-EDD J �J REQUESTED <br /> ❑7 Work Days 3 Work Days ❑Noon-Nvl Day �I Q <br /> L.I ound Water ❑�Other QC Level 1{I r .� <br /> ❑5 Wark Days ❑2 Work pays ❑2.8 Houts Soll ❑ProdutO Bulk Q QC Leve[IV J , <br /> LAB ID CANISTER CLIENT'S SAMPLE E.D. DATE I TIME MATRIX #OF CONT REMARKS <br /> I.D. SAMPLED CONT TYPE ti► <br /> Lo <br /> L-�.s <br /> �. S` a <br /> oil s7 s-rr t�:7I <br /> 417.s — <br /> a <br /> 1 Relin is ed 8 , Print:�h�v�t Date: Time: Receiv B : rint: Date: Time: <br /> , J <br /> 2 Qiuislrlecl By: Print: Date: Time: Recel ed By: Print: Date. Time: <br /> Were Samples Received in Good Condition? �Yes NO Samples on Ice? Yes ❑NO Method of Shipment Sample seals intact?❑Yes[JNO NIA <br /> NOTE:Samples are discarded by the laboratory 30 days from date of receipt unless other arrangements are made. 4-v <br /> Log In By: Date: Labeled By: Date: Temp 3 °C Page-4—Of_ Rev.4 <br /> 483 Sinclair Frontage it Milpitas CA 95035 1 ter:40&.263.5268 I fax:400.263.8283 I www-torrentizLill <br /> Total Page Count: 78 Page 78 of 78 <br />