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Corporate Laboratory(1651) Bay Area Laboratory(2728) Chain of Custody - Work Order <br /> Riverbank EDC 208 Mason Street,Ukiah CA 95482 262 Rlckenbacker Circle,Livermore CA 94551 Y <br /> f 707 468 0401(phone) <br /> � 2G03 Patterson 707 468 5267(tax) Central valley Laboratory(2922) Reports and Invoices delivered by email in PDF format <br /> ..I""""""',I"�. Rd.Riverbank, clientservices@alpha-labs com 9090 Union Park Way#113,Elk Grove CA 95624 <br /> www.alpha-labs.com CA 95367 <br /> WATERS,SEDIMENTS,SOLIDS 209-869-9260 North Bay Laboratory(2303) San Diego Laboratory(3055) <br /> 737 Southpoint Blvd.Petaluma CA 949524 2722 Loker Ave West,Ste A.Carlsbad CA 92010 Lab No /V. 16 (,�i Pq 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 5 Analysis Request TAT TEMP°C <br /> Attn <br /> Standard Ukiah <br /> Darrell Martin Kristin Bruns Project No: 5 days <br /> Address: Address: p <br /> 2603 Patterson Road,Suite#9 20700 S.Murphy Rd °i <br /> aI Livermore <br /> Riverbank CA 95367 Ripon.Ca PO Number: m RUSH: <br /> PhonelFax: Cell phone number: N 3 days <br /> 209-869-9260 209-573-3259 a <br /> O Elk Grove <br /> Email Address: Email Address: Ln <br /> m 48 hours <br /> labom environmental-com homestead oods209 mail.Com - O <br /> Field Sampler-Printed Name&Signature: Container&Matrix Other: Petaluma <br /> 0 <br /> v <br /> `o _days <br /> m <br /> Purveyor E N Carlsbad <br /> m ° ° ' C Preapproval <br /> a N 2 3 0 <br /> Sample Identification Sampling m a o c Q T required <br /> Date Time rn a- C0 D a-13: o` cn O r- Co Z Notes 1 DDW Source Codes <br /> Well 2/14/25 0630 x x x 1 x aid 55.00 by_CC <br /> r Relinquished by Received by Date Time DDW Write On EDT Transmission? Q Yes O No <br /> State System Number: NON EDT <br /> If"Y"please enter the Source Number(s)in the column above <br /> �J a CA Geotracker EDF Report? Q Yes O No <br /> Global ID Sampling Company Log Code. <br /> EDF to(Email Address) <br /> Travel and Site Time: Mileage. M'sc Supplies <br />