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Corporate Laboratory(1561) Bay Area Laboratory(2728) Chain of Custody/ Work Order <br /> Riverbank EDC 208 Mason Street,Ukiah CA 95482 262 Rickenbacker Circle,Livermore CA 94551 7 <br /> t2 707468 0401(phone) <br /> 2603 Patterson <br /> 707,465 5267(tax) Central Valley Laboratory(2822) Reports and Invoices delivered by email in PDF format <br /> AI�J,n Mayt�l labomrorKa lnc Rd.Riverbank, chentservices(&alpha-labs.com 9090 Union Park Way 4113,Elk Grove CA 95624 <br /> www.alpha4abo.com CA 95367 <br /> WATERS,SEDIMENTS,SOLIDS 209-869-9260 North Bay Laboratory(2303) San Diego Laboratory(3055) Ilk� ` Gn <br /> 737 Southpoint Blvd,Petaluma CA 949524 2722 Loker Ave West,Ste A,Carlsbad CA 92010 Lab No `' ' Pp of <br /> Report to EDC(OTO)Client Info: Project Information Signature below authorizes work under terms stated on reverse side. <br /> Company: Company: Project ID: <br /> Environmental.com LLC Homestead Goods Water Quality 10 Analysis Request TAT TEMP'C <br /> Attn: Standard Ukiah <br /> Darrell Martin Kristin Bruns Project No: 6 days <br /> Address: Address: 0 , <br /> 2603 Patterson Road,Suite#9 20700 S.Murphy Rd m Livermore <br /> a <br /> Riverbank CA 95367 Ripon,CA PO Number: E RUSH: 1 <br /> Phone/Fsx; Coll phone number. t` 3 days <br /> 209-869-9260 209-573-3259 g 0 Elk Grove <br /> Email Address: Email Address: 48 hours <br /> lab environmental.com homestead oods209 mai1.com 9 0 <br /> Field Sampler-Printed Name&Signature: Container 3 Matrix U Other: Petaluma <br /> o —days <br /> m <br /> g Z 0 Carlsbad <br /> Purveyor E N <br /> y d m o Q co Preapproval <br /> Sampling ° y H a y 2d g a m required <br /> Sample IdentificationDate Tlme a i7 a` o rn O m z Notes I DDW Source Codes <br /> 20700 S.Murphy-well tank 1/20125 1000 x x x x x 2 x I x I d 125.00 by_Check <br /> Relinquished by Received by Date Tlme DDW Write On EDT Transmission? Q Yes No <br /> Qt,'-tSn f l zC State System Number: NON EDT <br /> If'Y"please enter the Source Number(s)in the column above <br /> w CA Geotracker EDF Report? 0 Yes 0 No <br /> Z�- � r Global ID. Sampling Company Log Code' <br /> ,— / EDF to(Email Address). <br /> Trawl and SM Txne. Maeage-. Mist.Supplies <br />