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Corporate Laboratory(1551) Bay Area Laboratory(2728) <br /> 208 Mason Street,Ukiah CA 95482 262 Rickenbacl' Circle,Livermore CA 94551 Chain of Custody - Work Order <br /> 707.468.0401(phone) <br /> nl„h„ NWv,.a1 I,,h„r md„J i. 707 468.5267(fax) Central Valley Laboratory(2922) Reports and Invoices delivered by email in PDF formal <br /> Mnvw.alpha-labs.com Gientservices(gpalpha-labs.com 9090 Union Park Way#113,Elk Grove CA 95624 <br /> WATERS,SEDIMENTS,SOLIDS North Bay Laboratory(2303) San Diego Laboratory(3065) (�{ <br /> 110 Liberty Street,Petaluma CA 94952 2722 Loker Ave'West,Ste A,Carlsbad CA 92010 Lab No� 1 C Stria Pg l of <br /> Report to Invoice to(if different) Project Information <br /> companSignature below authorizes work under terms stated on reverse side. <br /> y: contact-. Project ID: <br /> V"L CA 9 J 6 Analysis Request TAT TEMP aC <br /> Attn: Email address: <br /> Project No: Standard Ukiah <br /> Address: Address: 10 days <br /> 1p 7 \A C-hy 0 rc� <br /> elk5* �'�v PO Number: E Livermore <br /> Phone/Fax: PhonelFax: m <br /> ���`P-sL ^C)1�9 RUSH: <br /> � 5 days <br /> Email Address: �v, <br /> MCA 1 � ,�C) r�/1 1 48 hours <br /> Field <br /> Elk Grove <br /> Field Sampler-Printed Name 8 'gnature: Container Preservative MatrixO <br /> c) o Other: Petaluma <br /> (V/ M <br /> m 6 ° m o _days <br /> > <br /> E o - O Carlsbad <br /> > ar `-" 3 z' C) m Preapproval <br /> Sample Identification Samplln = U Z <br /> o Zo t co .c 0 — L a z 2 required <br /> Date Time v a C7 1 r°n O t- v U Notes/DDW Source Codes <br /> 2 3'2 x x Y 1 x—___+ s <br /> 2 `-2 x x a' 1 x <br /> P%01%A 4Ux& <br /> -_ -_ <br /> i <br /> Relinquished by Received by Date Time <br /> DDW Write On EDT Transmission? Q Yes Q No <br /> State System Number: <br /> If"Y"please enter the Source Number(s)in the column above <br /> CA Geotracker EDF Report? Q Yes Q No <br /> Global ID: Sampling Company Log Code: <br /> DF to(Email Address): <br /> ravel end SR.Time: Mileage: Mist.SuppNes: <br />