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Chain of Custody - Work Order <br />Reports and Invoices delivered by email in PDF format <br />Lab No Pa of <br />Report to <br />Cairptny: <br />Analysis Request TAT TEMP "C <br />Ukiah <br />Project No: <br />PO Number: <br />Elk Grove <br />brittney mancilla@nwiec.com <br />Container & Matrix Other:Petaluma <br />Purveyor Carlsbad <br />iSample Identification 1Time Notea I DOW Source Codes <br />21687 McBride - well Will pay $1251-12-26 13:45 2XxxXX <br />Relinquished by Received by Date Tijno <br />/-12 NON EDT <br />If "Y" please enter the Source Number(s) In the column above <br />CA Geotracker EOF Report? <br />Sampling Company Log Codo <br />days <br />o <br />iMHaaV’|M<$c Suppttosz <br />North Bay Laboratory (2303) <br />737 Southpoint Blvd, Petaluma CA 949524 <br />Bay Area Laboratory (2728) <br />262 Rckenbacker Circle, Livermore CA 94551 <br />Preapproval <br />required <br />Central Valley Laboratory (2922) <br />9090 Union Park Way Hi 13. Elk Grove CA 95624 <br />San Diogo Laboratory (3055) <br />2722 Loker Ave Weal, Ste A, Carlsbad CA 92010 <br />s <br />Riverbank <br />EDC <br />2603 <br />Patterson <br />Rd. <br />Corporate Laboratory (1551) <br />208 Mason Street. Ukiah CA 95482 <br />707 468 0401 (phone) <br />707 466 5267 (fax) <br />cllantservices@alpha-labs com <br />i <br />a. <br />I i *I <br />0^00 <br />s ] <br />o <br />I <br />& <br />I <br />1 <br />z <br />i <br />RUSH: <br />5 days o <br />48 hours o <br />g <br />E <br />o <br />C <br />3 <br />§ <br />o <br />•o <br />i E <br />Standard <br />10 days <br />o <br />•’Tyy Dpw Write On EDT Transmission? <br />State System Number: <br />lab@environmental.com <br />Field Sampler ■ Printed Name & Signature: <br />Alpha • AtmU’/m jI l^lxviMorin inc <br />www.alpha-labe.com <br />WATSRS, StOIMCNTS, SOLIDS <br />Brittney Mancilla <br />Addrat*: <br />Globril 10 <br />EOF Io (Email Addrots) <br />travel and Site lime <br />Envlronmental.com LLC <br />Attn: <br />209-669-9260 <br />EmaU Addrtat: <br />Mara Mansilla <br />Addrttt: <br />2603 Patterson Road, Suite #9 <br />Riverbank CA 95367 <br />PhOMlFaa: <br />EDC (OTO) Client Info: <br />Company: <br />Brittney Mancilla <br />Point of Contact: <br />21687 McBride Rd <br />Escalon. CA 95320 <br />Cell phone number: <br />(209)681-7611 <br />Email Addrett <br />ON0OYes <br />O Yes <br />Project Information <br />Project ID: <br />Water Quality 10 Day <br />Sampling <br />Date <br />Signature below authorizes work under terms stated on reverse side <br />O No