|
CASTLE ANALYTICAL LABORATORY
<br /> ,
<br />Location: 2333 Shuttle Drive, Bldg 908/909, Atwater, CA 95301 ELAP Certificate No. 2480
<br />Mailing Address: 2333 Shuttle Drive, Atwater, CA 95301
<br />Phone: 209 384-2930 - Fax: 209 500-1848
<br />CHAIN OF CUSTODY
<br />PAGE I OF 3
<br />Customer:14- y -caetic, SAMPLE TYPE composite(c) discrete/grab(d) SAMPLE MATRIX soil(s) liquid(I) vapor(v) other (o) REQUESTED ANALYSES NUMBER OF CONTAINERS II Method of Shipment:
<br />Address: 1-35 -Caiti IC FaArrii £4 aii-,..), (sc BTEX/MTBE/TPH-GAS 8021/8015 TPH-DIESEL / MOTOR OIL - 8015B TRPH 418.1M / SM5520C & F Oxy's / EDB / DCA by 8260 8260 Volatiles- full list cN
<br />0 co ,
<br />rvc;
<br />(...)
<br />,-.4.
<br />...c.
<br />'f0 -..,-.
<br />,) Electronic Deliverables (EDF) City/State/ZIP: Scuo L...u1.5 )4(2(J), cli 9y-1-6 Notes: re5J--C
<br />Phone / Email: 5f 0 - (19' 7 - ---1-4-2,
<br />Project# / PO# / Global ID: SC-)i I b i a 5 30fip,f. hui-ri4ims('--)0A(catti5. (.t)-'t
<br />t'':P1 61/211
<br />,1\fQ
<br />Report Attention: dveA .&.,,tic Artftd) aAict4;;;.,(.1,4,) do Go , ruActride-D ,,,,,,,,q-,,,,,,,16. ccm
<br />Sampler Signature:
<br />Sampler Printed: t)O C. ip0 i,voici / KrkFill ot Casley
<br />Lab ID# SAMPLE ID tATE TIME DESCRIPTION/LOCATION OBSERVATIONS/REMARKS
<br />;;i1112;2--0\ iL l ) i/A4 1 _it 03 LAtinvir 124 D S )Qc _
<br />1 -0L. AR \/0:',72) \ D 5 1.7(
<br />- 0 3 Pi3 10:.„25 D S )()<
<br />—0') A4 1O b s
<br />to VI D S '?C( _
<br />-0 g f io: :55 P S .)(>(
<br />---7 Aq iri -aq 0 S K2(
<br />83 it:33 PS
<br />___01 gi H;39 D S. *>:)c _
<br />-4 f CA to 54 17 S K)( _
<br />-)z._ Ca 1c4 0 S \A..K
<br />p C "C X
<br />---1-1 (.4 iask-It.45 D S X2(
<br />\/ WI 31- V P s >9‹
<br />Si Printed Name . Date Time ComFny Name
<br />otal number of containers
<br />submitted to the laboratory
<br />G Relinquished by:
<br />. ,..,naturef,ii ,
<br />rpt9...1 ‘e, (1.41-t---(1 r-V;Ci-614",_ Cek.5-e-/ lYZI 1435 kiN Turn
<br />24
<br />48
<br />3
<br />5
<br />Around Time:
<br />Received by: (oft (._ .........t C, Ct"-A'-i---.) cevc_, .42,/71 )143--- cAi l-ta fill), 2.p4/ Hour I
<br />Relinquished by: Hour
<br />Received by: by: Day 1 I
<br />Relinquished by: Day (Normal) n
<br />Received by: Special:
|