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CHAIN OF CUSTODY <br /> Ming omInformatio An:t)yl� Alpha Analytical.Inc- 1367 <br /> Cp:nry. 6 L% I at ondery. 255 Glendaln A—.Stale 21 Spmks,NV 89431 Phone: 775-355.1614 - <br /> Alb+ <br /> Adrooss OD ( s Satellite Service Centers: Fax. 775-355.0406 <br /> Gty.State,Zip. __LI/11(••� --- Gl S9�•� _- Nnrllxnn CA 9891 He Runt.Sunu C,RancM+Qxtlova,CA 9riP27 Phnnu gt6-96GS10P9 . <br /> Smdtxlm CA 1007 r lkxnuu 1 St.Sude O,Qnxnn.CA 00746 Ph— 714-386-29,01 <br /> Plume Numbs- O-.-�eto�'Ij70 Fax `%J pnr <br /> _---_-"" l� �� N+xtharn NV Elko,NV 9,9801 Phnne. 775.388.761.1 <br /> rf)111114e: Soumnm NV LM Vegtm.NV 891211 Phone: 762.781-4849, Page A of <br /> Consult <br /> ant/ <br /> Cllient Info: Job and purchase Order info: Report Alto to Project Manager: OC Deliverable Info: <br /> Company Jam" ` ...___.__ Job ZD-01-160 -__ Name _. CRS EDD Roqurred? Yns, db FIN Ruyunn'f"' 1'.. rli� <br /> AACruss Job Nets'. I D J-7 Emad Addru:;!, �, :117{�R.'�,Y�y17 <br /> Cdy State.Z.9, PO n __Zj�—p�S_�1-�V-- Plumae: �t7�__U-117�7—/"=7t�-A/ --- GkA.1 ID <br /> Samples Collected from which State?(circle one) AR CA KS NV OR WA DOD Site Other con a S3� �j 5 py<v —. Dela vel dRsron Packages 111 a V <br /> ArAII SW ed Remark. <br /> I f m ^ I <br /> Tme Dale I.L.0n fl d SL; <br /> �ampled Sar.+pb0 ISee Pnr LL <br /> affil,w) (WADO) Belatl Lab ID Nu It—IFur Leh U—OW,) Sensate I7osctg+tron TAT <br /> J33 +h�_ Q2_^a l_ T�...- _____ --- <br /> --- - <br /> I <br /> ADDITIONAL INSTRUCTIONS. <br /> I(field sampler)attest to the valWly and g1erdlCNy of title sataple(s).I am arate that t---Ing with or HnarMbruMy mistabohng thn.ample Incabm dale or 11—of colleclinn le--ef ed fraud and may b.grounds for Mgal action. NAC 445,0636(e)(2). <br /> Sampled By: 1< <br /> Relin -rwdjnalurolAS'Tratgn) - ----- D;1W: - - Tenn' ---- Reeerval try Sgnaknr/Allau�tlorlY Date.cT.-rileQ/Y - ---- l-2 E• i^r�t�, a H. O_ --- v831 Zo S2-(o -- <br /> neil ny( um!Afbtra k Data Tone. ReewItod W.(Signaltwimlialml Date. Tome, <br /> I _ <br /> _ 0 _DC <br /> lc inqushvd by.tS-4 atwt!ABluswn) Dale Time. Rerorved hY.(Stgnehn.a' bhat+unl to- --'-_------�— -- .. <br /> Da ' Time: <br /> I <br /> Key AO-Aquttolts AR-Air OT-Other So-SON WA-Waste ''B-Brass L-Liter O-Orbo OT-Other P-Plastic S-Sal Jar T-Tedlar V-VOA <br /> OTE: Samples am discarded 60 days Rea sample tecoipt unless ottwr nrrangornents am mndr. Hazmdats snmplas vM bo rohtnmd In cl:m+1 nr tksposal M nt rlenl rx{nrrcwr Thn rnpat ka the an»lys+s or Ilm obove s pkn is oppM1cable"tothose samples --- — <br /> :rzcemed by the labutal mth tors COC The IWrbd+ al Iho btbaM rs hnxled to the amamt +d lbr fho <br /> 07116 <br />