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Chain of Custody Record Eurofins TestAmerica-Pleasanton <br /> 1220 Quarry Lane-Pleasanton,CA 94566 <br /> (925)484-1919 <br /> SPECDU.QED CDNTRACi1N6 SERVICES INC <br /> ?p • C),5 Z12'' <br /> Company: Project Name: Sampled By: �/� Report To: <br /> Specialized Contracting Services, Inc. ✓'KI (�LnG/� I uC✓k 1 ({'i [ ��� (��i Cody Key,Joline Blankenship <br /> 3601 Double Springs Road Project Location: Signature: Date: Cody@getscsi.com,csr@getscsi.com <br /> Valley Springs,CA 95252 ( <br /> Phone:(209)759-3131 1 eG�,��7 v r C r <br /> Project Manager: PO/JOB# <br /> Q 0 <br /> Cody Key 0 <br /> m = <br /> Phone: o <br /> TA Quote#: 72008924 � � `^ a <br /> (209)625-5909 a 00 " 2i - <br /> wa Q o m <br /> E-Mail: v i2 v Matrix o —w w o a i m <br /> is E c Cr t7 r` a p a- Of <br /> cody@getscsi.com o _ oo w <br /> v v — <br /> o_ a o v o + .� w a w o 0 <br /> E E u v 3 u <br /> to N o a 'o °° r < = u o <br /> Sample Identification , 3 0 N o u ° a a a a" a" Sample Specific Notes <br /> A ' �(' Uri'5 C <br /> S{,2... S <br /> �`1311�t _St1 �C C <br /> CD 5p - C L4311° U�I5 2- Sc.C <br /> ` %KN <br /> M 4X <br /> -SP - D Ur.,)Lic)I 'Z' re-E <br /> s <br /> Sp -E '�� i i� lb�LA 5 � E IXC>G <br /> S - 50 <br /> 9 720-93292 Chain of Custody <br /> �o <br /> Preservatives:Ice,HCL,H2SO4,HNO3,NaOH Turn Around Time <br /> Special lnstructions/QC Requirements&Comments <br /> El5 Days(standard) 4 Days 113 Days ❑2 Days El Hours <br /> M Run extraction for STLC/TCLP Metals and hold. <br /> Laboratory Comments: Temperature: <br /> Run Carb 435 400/1000 pt.count)if Asbestos is detected by PLM : p ©� <br /> e I <br /> Relinquished by: Company Date Ti Received y: Compan Dat Time <br /> Relinquished by: Company Date Time Received by: Company: Date Time <br /> Relinquished by: Company Date Time Received by: Company: Date Time <br /> 67 <br /> CD <br /> N <br /> O <br />