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Corporate Laboratory(1651) Bay.Area Laboratory(2728) Chain--of'Custody-Work Order <br /> 200 Mason:Streei Ukiah CA 95482 282 RickenbackeeCirde;Uvermore CA 84551 <br /> 5 707.459.0401(phone) - <br /> 707A69.5287(faxy Central valley Laboratory(2922) Reports and Invofces,dolivered by email in'PDF tomlat <br /> Nom"'n'"v`�isiLntn.°1twoln` clientservtces®alpha-labs.com .8090 UnionParkWay#713,Elk Grove CA 95924 <br /> www:atpha-labs com <br /> WATERS,SEDIMENTS,SOLIDS North Bay Laboratory(2303) San Diego Laboratory(3056) 2 <br /> 110.Ubeny Street,Petaluma CA 94952 .2722 Laker Ave West.Ste A.Carlsbad CA 92010 tab No 23 aoY/�/� Pg of <br /> Report toInvoice to(if different) Projectlnformatibn :. Signature below authorlies work:Under terms stated on revers6 side. <br /> company: C'. <br /> &. Project ID: - <br /> S e1? Dem(And Analysi.; uest TAT TEMP°C <br /> Atb, t�/A Emdn.zd0—: Standard Ukiah <br /> N 6,(M Project No: _ ___ie days <br /> o` <br /> ��tt��-- m <br /> Aram o/Cp `[5270 PO Number: E 1 ® Live moa <br /> PhanclFaz: Phon.IFdz: f!1 RUSH: <br /> 2-0 <br /> -I:Y/?j-W_S t `m Slays <br /> Emzll Addreae: G 0 blk Grove <br /> we etde a 1@ mail <br /> corn m 48 hours <br /> o <br /> Field Sampler-Printed Name&Signature: .Container Preservative I Matrixo o <br /> Other. <br /> Petaluma <br /> v�p Irn1J' � 3 days <br /> m a v O <br /> s <br /> _m - Z O Carlsbad <br /> o ar <br /> Oj <br /> Data Time e t Z Preapprov <br /> Sampling m requiredSam le Identification 2 =a c9 iO n O - UU Notes I D <br /> aDl <br /> W Source Codes <br /> I 25 a pewifr PA 2121 2=40 X X X , < <br /> ACgYYI ICA QSZZp X X X , X <br /> Relinquished by Received by Date Time DDW Write On EDT Transmission? O YesO No <br /> 1535 <br /> State System Number: <br /> -if"Y"please enter the Source Number(s)in the column above <br /> CA:Geotracker EDF Report? 0 Yes O No <br /> Gbedi 10: 3-01ng Company Log Code: <br /> EDF to,(Ema l Addrass): <br /> r vM end SO n-: Mlloagq Mist.6upplies: <br />