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Company Name/Address: Billing Information: Analvsic/fnntainor/Prp—r—tivp Chain of Custody Page_of <br /> UniFirst Corporation - Wilmington, MA Sarah White <br /> 681onspin Road Chk <br /> 68 Jonspin Road Wilmington,MA 01887 ( ale <br /> PEOPLE ADVANCING SCIENCE <br /> Wilmington, MA 01887 <br /> Report to: <br /> Email To:sarah_white@unifirst.com MT JULIET,TN <br /> n u <br /> I� � 12066 Lebanon Rd Moun[Juliet,TN 37122 <br /> Sarah White 603-493-9605 urda .,,Inry vla IN,al,aln of custody <br /> CL constitutes acknowledgment and acceptance of the <br /> Project Description: City/State PleaseCircie: p Pace Terms and Conditions found Collected: at: <br /> PT MT CT ET Z https://info.pacelabs.com/hubf,/pas-etandard- <br /> Unifirst 370-Stockton,CA O terms.pdf <br /> Client Project# Lab Project# U O LA 2 <br /> Regulatory Program(DOD,RCRA,DW,etc): ry QJ Q SDG <br /> UNIFIRST 370-CA UNIFIRWMA-LOC370 0 Q, <br /> V) F010 <br /> Collected by(print): Site/Facility ID# P.O.# N 1J-1 L <br /> STOCKTON,CA V) a.o Y Acctnum:UNIFIRWMA <br /> CV Collected by(signature): Rush? Lab MUST Be Notified Quote# ; 00 I✓ Template:T278878 <br /> ( ) a- Z �. N kA CD <br /> Same Day _Five Day , Prelosin:P1170613 <br /> Next Day _5 Day(Rad only) Date Results Needed a V ? o PM:36 -T.AI n Harvill <br /> Immediate) _Two Day _10 Day(Rad Only) No. N W - PB: , cr ) <br /> Packed on Ice N Y of Day _STD TAT of 0, y� ,y. ,� <br /> — ay I-= LLl t� Shippe via:Fed EX Saver <br /> Sample ID Comp/Grab Matrix* Depth Date Time ntrs Z J d 41 ry <br /> U 00 Remarks Sample N(lab only) <br /> DAF PRESSED SLUDGE 55 01•US. t '2' X X <br /> DAF PRESSED SLUDGE 55 W 3 X X X <br /> DAF PRESSED SLUDGE Leachate •I�[; 1 X <br /> I <br /> *Matrix: Remarks: Sample Receipt Checklist <br /> SS-Soil AIR-Air F-Filter pH Temp COC Seal Present/Intact: /SNP _Y _N <br /> cOC Signed/Accurate: Y N <br /> GW-Groundwater B-Bioassay Flow Other Bottles arrive intact: Y _N <br /> WW-WasteWater Correct bottles used: Y _N <br /> DW-Drinking WateTracking <br /> o /- Sufficient volume sent: Y N <br /> Samplesreturnedvia; Tracking# (} 2� 1 j �l ( l If Applicable <br /> OT-Other _UPS _FedEx Courier VJ J �•-Y �.S/ J VOA zero Headspace: ,Y _N <br /> Date: Time: Received by:(Signature) Trip Blank Received: (e /No Preservation Correct/Checked: Y _N <br /> Relinquished b :(Signature) RAD Screen <0.5 mR/hr: Y _N <br /> /Meoll <br /> TBR <br /> Relinquis by:(Signature) Date: Time: Received by:(Signature) <br /> o Bottles Received: If preservation required by Login:Date/Time <br /> orlt-D'I" <br /> Relinquished by:(Signature) Date: Time: Received for lab by:(Signature) Date:n- y Tim/ me: /� Hold: Conditi <br /> 1 . _ n r� �n (tU •' v 1 n00 M NCF / OK <br />