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Alpik!fdirLAnaisibcal Labossones Inc <br />wwv.talpha-labs.com <br />WATERS, SEDIMENTS, SOLIDS <br />Corporate Laboratory (1661) <br />208 Mason Street, Ukiah CA 95482 <br />707.468.0401 (phone) <br />707,468,5267 (fax) <br />clientservices@alpha-labs.com <br />North Bay Laboratory (2303) <br />737 Southpoint Blvd, Petaluma CA 949524 <br />Bay Area Laboratory (2728) <br />262 Rickenbacker Circle, Livermore CA 94551 <br />Central Valley Laboratory (2922) <br />9090 Union Park Way #113, Elk Grove CA 95624 <br />San Diego Laboratory (3056) <br />2722 Loker Ave West, Ste A, Carlsbad CA 92010 <br />Chain of Custody - Work Order <br />Reports and Invoices delivered by email in PDF format <br />Lab No pg of <br />Report to EDC Client Into: Project Information Signature below authorizes work under terms stated on reverse side. <br />Company: <br />Environmental.com LLC <br />Company:, <br />Me1.2/1 i E-. U3d).. 6 er- Project ID: <br />Water Quality 5 Day Total Number of Containers per Sample ID Analysis Request TAT <br />, <br />• TEMP C <br />Attn: <br />Darrell Martin <br />Point of Contact: <br />Zt <br />."-‘)... <br />A----...- <br />Q <br />-1 <br />-'t <br />Standard <br />5 days <br />0 <br />Ukiah <br />61 <br />Project No: <br />Address: <br />6602 Second Street <br />Riverbank CA 95367 <br />Address: <br />/ 5,/ s- 51e4\1\561Q ii_ <br />Livermore <br />3 -3 PO Number: RUSH: <br />3 days <br />0 <br />48 hours <br />0 <br />Other <br />days <br />Phone/Fax: <br />209-869-9260 <br />Cell phone number <br />g1139 -- 6 — 016 5 Elk Grove Email Address: <br />darrel 4-J environmental.com <br />Email Address: <br />ate-larN i e eueipalA er--- (.") 7 i.,y‘..„,( . C.01,A- <br />Held Sampler - Printed Name & Signature: Container & Matrix Petaluma <br />Ar 0`t_I- CY— ( 0 1 ° [Sterile bacti .,.....) <br />co <br />a. <br />Sampling <br />„, <br />co <br />0 Unpreserved Preserved [Wastewater I Drinking Water 1 z co f- 0 <br />0 <br />Preapproval <br />required <br />Carlsbad <br />Sample Identification Date Time Notes I DOW Source Codes <br />Ka ,/,-0/,24 /.3e 5 1 *It 4 i A <br />41 ..1( _jig' G2pc 13c45 /1. I- \I: 1 71**N <br />1- <br />r --. <br />1 <br />Relinquished by Received by Date Time DDW Write On EDT Transmission? <br />State System Number: <br />If "r please enter the Source <br />0 Yes 0 No <br />Ai /k ----- Art /719/aq (Li 14> <br />(444/6014/ (.444's' Al Q OVVI /65) Number(s) in the column above <br />/14 09 ,..-1111%) '14;-7-ti 1 4 3 d CA Geotracker EDF Report? 0 Yes 0 No <br />Global ID: Sampling Company Log Code <br />EDF to (Email Address) Jv1 /4-/ <br />. <br />0 v'-' 1 - IS? y ,,,., <br />Z ( C' V <br />Travel and Site Time <br />rive. <br />rsc. Supplies: