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TZ JO -CZ 9Eced Received by: IRelinquished by: 11Received by: 11Relinquished by: IIReceived by: (1,1/2 c^4.tt(24' 0 Relinquished by: (49--)r— . , <br />? <br />k - <br />.4: ,.,,. <br />ht <br />.." <br />...... I Lab ID# I SAMPLE ID I I DATE I TIME I DESCRIPTION/LOCATION 'Sampler Printed: v _ )(5 u2kAd (A/0\ik. 'Sampler Signature: 'Report Attention: DItt./V FOA/c./irk, )tilte+ kvirAnioS. tOoLtia Kvillmn1 dot' abirtivvlari w"-"''' IProject# / PO# / Global ID: Q, 0 IC)11qc." _col/ j !Phone / Email: clarm.{Qticki @ cow\ -, kii1r/1/%;h ade.s2s.c.A6A ICity/State/ZIP: 01/1/‘ Lvi iNispo. opf 9340/ 'Address: -";S yainAL T-72A/ra e-- Customer: 1-kfCcket (5 Phone(209) 384-2930 - _Fax: (209) 500-1848 1 Ill 'id\ ik14/1 <br />M <br />____.- 6) _ F -,z, <br />(10 <br />7F --,z, <br />p <br />--t, ---py....--- <br />)‹. , <br />— <br />< , <br />0 —,) <br />.-c >.g> <7-7, ---- 09 <br />---....„ c,,c) <br />,c, --_,_ ----- — <br />,:-.,:, c_N- . + :IS. v\- - g 'a g,'. <br />c.) <br />--•ri, <br />.. . <br />.ri' 'srl <br />.. , <br />....z <br />i ted Nark: , <br />, _ SAMPLPE <br />composite(c) discrete/grab(d) <br />\--- P (r) (r) 0 V) ',./)(-, (f) V) C.0 0 V) cr) SAMPLE MATRIX <br />soil(s) liquid(I) vapor(v) other (o) <br />BTEX/MTBEJTPH-GAS 8021/8015 <br />,_,, <br />-_ <br />^-4 <br />— <br />._ ,7 1-4 <br />UV <br />-1 3 <br />n. <br />TPH-DIESEL / MOTOR OIL - 8015B (--- <br />TRPH 418.1M / SM5520C & F n, -a a, <br />z. <br />Z"-- <br />0,.. <br />.--.' (A <br />`...„ <br />-. (-•,, <br />g <br />Oxy's / EDB / DCA by 8260 C rr <br />Li <br />v <br />8260 Volatiles- full list ...1 ni — <br />XX • PCBs - 8082 <br />0 <br />1. C.% <br />>< .4 )0‹ X X>c X* t?0 01 0/S-AdVe <br />,..c.tr, rn to <br />— <br />Electronic Deliverables (EDF) Turn Around Time: 24 Hour 48 Hour 3 Day 5 Day (Normal) El Special: Total number of containers I submitted to the laboratory ---'k3,-- Method of Shipment: Notes: OBSERVATIONS/REMARKS CASTLE ANALYTICAL LABORATORY 0917Z ON ale3!Plia0 dV13 AaaLsno JO NIVHO