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CALIFORNIA LABORATORY SERVICES <br /> Page 1 of 13 12/15/09 14:59 <br /> Weidmann Diagnostic Solutions Inc. Project: PGE16S <br /> 4011 Power Inn Road Project Number: 323906 CLS Work Order#:CSL0488 <br /> Sacramento,CA 95826 Project Manager: Jawied Anwar COC <br /> T implIM K <br /> Chain of Custody Record Date <br /> q--6 Page of <br /> MIDMAI Billing Information: -,I <br /> ELECTRICAL TECHNOLOGY Company Name: Company Name: <br /> Address: Address: <br /> E Weidmann Diagnostic Solutions ---tity.Stu Zi _ Cib'State.Zip: <br /> 4011 Power Inn Road-Saciamento Ca-9M26 USA <br /> Phone 916 45'i 2284-fax 916 455 0191 <br /> Telephone: Telephone: <br /> www%%,-4drna,1n4aqnoshcs ouni FAX: FA X: <br /> Project Name: PCIE I b Report Attn: contact: <br /> Projed#: 3'/g(4? <br /> P.O. <br /> Contact: 11�—!�4 Jqr'--'� <br /> pit Control <br /> Check <br /> Time <br /> Sample Date Location) Tots of "i'dropling Remarks(include Niumber one <br /> Identification Sanipled ion Required Jar, %lelhod 1.1pt&appearance) LAh Use <br /> lansitOnly <br /> ILII jG) TPIf <br /> ( <br /> 1krA 1-7 <br /> Total Number of Containers: <br /> 11.1a,q.,0ad by C..P-y AOmqta.hd by R.] ..had by C—PA V <br /> ii--d by pony kqa.-d by lab CO.PSAV <br /> Date Lw—' --�T;�- —,C) Data i T— —+T--,'1:' Data Tian Tamp M <br /> CA DOHS ELAP Accreditation/Registration Number 1233 <br /> 3249 Fitzgerald Road Rancho Cordova,CA 95742 www.californialab.com 916-638-7301 Fax: 916-638-4510 <br />