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. - <br />Compaq,/ Name/Address- <br />ATC - San Ramon, CA <br />Billing Information: <br />Accounts Payable <br />2001 Crow Canyon Rd <br />Pis <br />Ctlk <br />ati e Chain of Custody Page of A alvms / Container / Pre,ser <br />$ <br />aceAnalytical <br />2001 Crow Canyon Rd <br />Suite 200 <br />San Ramon. CA 94583 <br />Suite 200 <br />San Ramon, CA 94583 oPres 1 '5.- <br />in ...... Vle0H10m1/Syr F- <br />CO i-HNO3 b-HCI ifIk5 12065 Lebanon MO Mount lultet. TN 31122 <br />Suorrs tuna a urndie ssa th.‘ chran of custody <br />const,tutes adrum4edernent and ace,... of .. <br />P ace Terms and Cnndtions found at <br />Mt./ionic .....0. corn/hubfkMas-standerd <br />Report to: <br />Matt Livingston <br />Email To: <br />matt.livingstontaoneatlas.com;Michelle.Serube <br />.-. <br />Project Description: <br />Bonnie Plants - Linden <br />City/State <br />etb den , C., k <br />Please Circle <br />C.93 MT CT LT <br />.-1 <br />I <br />0 <br />SDG a I 1 L.t t-7?53 <br />Phone: 925-460-5300 <br />Client Project ti <br />204BS04278 <br />Lab Project ii <br />ATCSRCA-BONNIE soil DRO/ORO-CA 8ozClr-N soil GRO-CA 40m1Amb/Me soil Pb 6010 llozar-NoPres soil VOCs 8260 40m1Amb/I water DRO/ORO-CA 40mlA water GRO-CA 40m1Amb H water Pb 6010 2S0m1HOPE water VOCs 8260 40m1Aml ---1-11- It, "1-1- M e A180 <br />—, <br />Acctnum: A t l4M." <br />Template:7198586 <br />Prelogin: P885035 <br />PM: 110- Brian Ford <br />PB: <br />Collected by (print): <br />MI( kl elk fru-be- <br />Site/Facility ID a P.O. il <br />Collected by (signature): <br />—____ <br />Rush? (Lab MUST Be <br />- Same Day X_ Five Day <br />Notified) Quote a <br />Immediately <br />Packed on Ice N _ <br />_ Next Day 5 Day <br />_ Two Day 10 Day <br />Three Day <br />(Sad Only) <br />(Rad Only) <br />Date Results Needed <br />N. <br />0. <br />Shipped Via: <br />Sample ID Comp/Grab Matrix' Depth Date Time Cr Remarks S..nple 4 (lab only) <br />— ) '. I 0 1 G ss 10 il IL/ /-1_, i 1 i F) ,e" )( 1( $ — ot <br />-iS G ss i )1 1 ci II- 1 11 -2- :,.',1 2( <br />G ss to , -VOL( j3 ,, -N4 ?( )4 ?‘ <br />...... 03 <br />3.: 2_ - IS' G ss i s.. ./(4)Lt 1-7...b1 e X )K- .X. )4.- 0.1. <br />10' 114-f I Li ‘; C.- 0 X —o5 <br />ss 15 ' ,!,i ,-; 1 Li ;31 , ,< a<>< .....0G -..\,. SI---3 - iS 1 <br />-Tvosigliiiriere4-14-1 . <br />GW <br />, I <br />/ <br />GW <br />GW <br />Matrix: Remarks:§anrole Receint Checklist, j <br />k Lc $ 4 -4. in -Ft) ."-- ,..-I-i ei.; CI $ - c pa '—rit -+-& CO C pH Temp COC Seal Present/Intact: NP N _CY SS - Soil AIR- Air F - Filter <br />GW - Groundwater 13 - Bioassay <br />itrea+e_ 9 et a ,..7 ,c. <br />Flow Other <br />COC Signed/Accurate: -...? It <br />Bottles arrive intact: 72t --N ww - WasteWater Correct bottles used: ...0Y N <br />Samples returned via: OW - Drinking Water Sufficient <br />Tracking # Cl ti,5° 1 le ) &--)c) 3 Q --N volume sent: <br />jf Applicable OT - Other UPS Courier _ _FedEs VOA Zero Iteadspace: Y N — <br />Relinquished by IS _nature) Date <br />ifir II 1512. i <br />Time <br />4/ 30 <br />Received by (Signature) Trip an Received: Yes/ AVPIF <br />Ha / MeoH <br />Preservation Correct/Checked: Y N <br />BAD Screen .<0.5 mR/hr: 1q7 __N <br />TBR <br />Relinquished by: (Signature) Date! Time: Received by: (Signature) Temp: toro:s Bottles Received: <br />1 A-tn: I A /J21 <br />If preservation required by Login: Date/Time <br />Relinquished by: (Signature) Date: Time R se' ed for lab by: Svature) <br />C <br />Date: , Time: <br />1 17(1/9- / si 3 il <br />Hold: Conditi. • <br />NCF CP