|
5
<br /> C2/
<br />CASTLE ANALYTICAL LABORATORY
<br />1,00•Y, 2,)1))17.- CHAIN OF CUSTODY
<br />Location: 2333 Shuttle Drive, Bldg 908/909, Atwater, CA 95301
<br />Mailing Address: 2333 Shuttle Drive, Atwater, CA 95301
<br />209 384-2930 - Fax: 209 500-1848
<br />ELAP Certificate No. 2480 "72 PAGE ,t) OF
<br />
<br />Customer: laircaeUS SAMPLE TYPE composite(c) discrete/grab(d) SAMPLE MATRIX soil(s) liquid(I) vapor(v) other (o) REQUESTED ANALYSES NUMBER OF CONTAINERS Method of Shipment:
<br />S*. ),-, Address: 1-7,-. y-t-LA,tr_ rrywyl Ed, ,-ye. r7L) 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 PCBs - 8082 , -.., s------
<br />,.._.
<br />.- Electronic Deliverables (EDF) City/State/ZIP: Sgivi 4- j/S C.311,Wfl i Ciiel 9r31.) Notes:
<br />guoi- re5(.(1f3
<br />Ll
<br />if),.,/ wvytv-e/9314
<br />Phone / Email: 510 -- (.? crT - - 7 7- 1:2>"
<br />Project# / PO# / Global ID: ;C1)64)5 i i .1 . 1,,-- 62) a.,Vce4S iltilVt, nk ? ) ' tet.,Y0 3,,itr'r, ,
<br />Report Attention: 64.1 ',-fav i.v. c.ii * 6.._--(.;• tiAT.,Acztts • Leyn ctia, icarmitirX.2,'644-cc,et, "- I,
<br />Sampler Signature:
<br />Sampler Printed: LAA, Pi ( A' 147',ve / 1,I:Otil/ttl7cl (laS-e-t
<br />Lab ID# SAMPLE ID DATE TIME ESCRIPTION/LOCATION OBSERVATIONS/REMARKS
<br />2th1 2-2--30 cp-,- I( 2:47,.iN41 l'15 u\I (-'.iii,,,,y ;Cc! 1) L.—
<br />---„,......._ _.,.-
<br />_ ------
<br />...--- ,-----"-
<br />_
<br />--_.
<br />_-----
<br />_— --
<br />---
<br />-____ -- ---- ---
<br />----_
<br />---- ...------ ___ -----__ ,
<br />-,_ --------- -______ ---_,_s_
<br />_ .
<br />,
<br />Signature Printed Name Date Time Company Name
<br />rotal number of containers
<br />submitted to the laboratory
<br />K41-(1-r\O\ awy uh5h., rrys- ti-M9- Turn
<br />24
<br />48
<br />3
<br />5
<br />Around Time: Relinquished by:
<br />9'; Received by: /,--17 / V7 Vi L Lev ii, 0 20/2.1 i Lt -_;-- c ,,i_4_,L Hour I
<br />Relinquished by: /
<br />1
<br />Hour
<br />Received by: Day I
<br />Relinquished by: Day (Normal) l
<br />Received by: Special:
|