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111,2447 Alpha AmAanal Laborarones Inc <br />www.alpha-labs.com <br />WATERS, SaDMIENTS, SCUDS <br />Corporate Laboratory (1551) <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 Southpoiht Blvd, Petaluma CA 949524 <br />Bay Area Laboratory (2728) <br />262 Rickenbacker Circle, Livermore CA 94551 <br />Central Valley Laboratory (2922) <br />9090 Umon Park Way #113, Elk Grove CA 95624 <br />San Dlego Laboratory (3055) <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 <br />Report to <br />, cn <br />Company: <br />EDC Client Info: Project Information Signature below authorizes work under terms Company, Project ID: stated on reverse side. <br />Environmental.com LLC Water Quality 5 Day Analysis Request TAT Attn: Point of Contact TEMP °C <br />Darrell Martin t3R1 TriF, 1 M A N (..) t1,4 Project No: Standard Ukiah <br />Address: <br />6602 Second Street <br />Achintaa, <br />2,1627 NIC1310E <br />a 5 days <br />0 <br />1 I <br />Riverbank CA 95367 tc ( A LO N (A PO Number: <br />E ,_.., Livermore <br />Phone/Fax: <br />209-869-9260 <br />Call phone number: <br />209 g. <br />g <br />>. <br />RUSH: <br />3 days <br />Email Address: <br />darrell@environmental.com <br />Erna!! Address, <br />b(fIlhVi —0,4rIt )116 to,J le(,(.0, <br />0 <br />i `,,-,4 <br />0 <br />48 hours <br />Elk Grove <br />Field Sampler - Printed Name & Signature: Container & Matrix C 0 3 <br />11 <br />..0 <br />vL) <br />f-- <br />c\.• <br />Other. <br />days <br />0 <br />Petaluma <br />E C- ,--- Carlsbad <br />Sample Identification Sampling A.) .0 0 . e 2 ar 2 En ._.. ,-. z — —_ Preapproval <br />Date Time -6ecn3A-.g,'3,'g <br />E = 2' 2 <br />12 <br />-Z. required <br />216S7 mc5mle 0 5 <br />Notes! DOW Source Codes 1/2 3/2 _,-, t2,1_c J Z IX -6.1 K)-1-if-) PNy I <br />(,) \ <br />g <br />I <br /> R21 quished by ) Received by Date Time <br />1717ilkh,/,', kcV" /5 S (AVZ9 /1:37 2- <br />Yes DDW Write On EDT Transmission? 0 0 No <br />State System Number: r-ar A C L) V) ( -23 z ,( 1.30 If "Y" please enter the Source Number(s) in the column above <br />3 \ Al [),/ , _ CA Geotracker EDF Report? 0 Yes 0 No <br />Global <br />EDF <br />ID Sampling Company Log Code <br />to (Email Address) <br />Travel and Site Time (Mileage %se Supplres