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Corporaes laboratory t+61 1 bey Ants Labomgory 127291 Chain of Custody-Work Order <br /> Riverbank 20Q Mason Street,iCA 95482 257 Rc tiacke•wen Circle,Lvernore CA 9155E Y <br /> EBC 7074680401(;*,—a) <br /> Abra A.ahor��� Irc 7e74"5207 flex] Central Valley Laboraory(2922) Reports and InvoiceS deevered by email In i formal <br /> 2503 cllerNaervicaa�elpha kbs.Com 9090 Union Perk way a 111.Elk Grwe CA 95624 <br /> www Warm. <br /> .rom F'allerson I � � <br /> WA7sas,Srotreusrs,Souos Rd. North Bay Laboratory 123Q31 San Diego Lsborelpry(30551 t/f, <br /> 737 Sodlhpolm Blvd,Petaluma CA 949524 7172 Lower Ave West,Ste A,Carlsbad CA 92010 Lab No A Pq of <br /> Report to EDC(OTO)Client Info: Project Information Signature below authorises work under terns stated on reverie side. <br /> Comyeny, Corni Project ID: <br /> EnvlronmarlIN.eam LLC Brittney Mani Water Quality 10 Day Analysis Request TAT TEMP•C <br /> Aar: eyimoC.4— Standard Ukiah <br /> Mara Mansdla 6rillney Mantilla Project No: 10 this" <br /> r. •Z_ <br /> 2603 Patterson Road.Sui{e 09 21587 NiRd <br /> � Livermore <br /> Riverbank CA 95367 Escalon,CA 95320 PO Number. E RUSH! ]_ <br /> axmWrax: MI prrona number, R 5 dato l <br /> 209-869-9260 (209)681-7811 m Q Elk Gmve <br /> EmaY Addreu', i Add— C 46O <br /> lab@envlfonmenlal.aom britti mantilla nwiec.com <br /> Field Sampler-Printed Name 9 Signature: Container a Matrix o Other: Petaluma <br /> o —days <br /> Purveyor q <br /> E 0 Carlsbad <br /> n a i ¢ Prwpproval <br /> w u a mrequired <br /> $dR1�3lf3IdBrItiflCdtfOI1 Date$am Iln Time 45 a o to Z NotwlDDW Source CoWa <br /> 21697 McBride-well 1-12.28 13.45 x x x x x 2 x x Will pay$125 <br /> Relinquished by Racalved by Bata Tt Yes <br /> _ B W Write On EDT 7ransmlasion? � 0 No <br /> Slate System Number NON EDT <br /> f-�-`7-- 11 please enter the Source Number(a)h1 the column above <br /> 'f - OV00 CA Geotracker EDF Report? O Yes O No <br /> bN it A Spi Gampeny tap Cod.EbF ra i/war.u) am <br /> V {/ _ travM.af Sea i V-9. IAac Eptess <br />