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CALIFORNIA LABORATORY SERVICES <br /> Page 1 of 13 12/15/09 15:00 <br /> Weidmann Diagnostic Solutions Inc. Project: PGE16S <br /> 4011 Power Inn Road Project Number: 323905 CLS Work Order#:CSL0489 <br /> Sacramento,CA 95826 Project Manager: Jawied Anwar COC#: <br /> IDMANN <br /> Chain of Custody Record Date <br /> S t; Page of <br /> WE8dling Information <br /> ELECTRICAL TECHNOLOGY Company Name: I f + '• \ Cmnpany Name: __- _�✓ ( i'�l',1 1 - ___ <br /> Address: i_ Address: <br /> ■We dmann Diagnosticaria Dna City,Slate.Zip: Cily.Mate.Zip: <br /> d(t I Ptr,yer Inn Rear•Sar�artmao Ca-95,826 USA r <br /> Phon,916 455 22&1—1-ax 916 455 0141 Telephone: f — Telephone: --- <br /> rvrn•roiHln wir.ntlydynr}5�r'Dom FAX: _ FA X: <br /> �fr'( l�;' 7 R trt Attn: Contact: <br /> Prnjcrt Name: � ------ -- <br /> Project#: 32 jV- <br /> —L---- <br /> - Control Cmak <br /> Sample I one <br /> Sample Il:+h I line rests a of Sampling Rmiarks(include INumber <br /> �, LtK'alion: <br /> Id.nlduatinn Sampled Smnpled Rryutred Jan %lethr.d I� t•&papptrranccl Lab l'le <br /> LPo.ition ("ly F P <br /> 7 i PifFTSK <br /> r ;>/ <br /> - fil C7 <br /> �:T 3 — <br /> -- - Total Nulrlxr ul ( unleinrrs: / s ^r sv"' <br /> RN•iqusr+rd by- _-- -- _---- Company Rnl•ngmehed by -- Company •lino o.d by <br /> fie_.- Reserved by' ,ai•y a awed by L.h Company <br /> - – – — — --– <br /> ITanro •CI Dau Trmr �� Temp CC) Date Tuna Temp!'C' <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 />