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TestAmerica Sacramento <br /> 880 Riverside ParkwayChain of Custody Record TestAmenca <br /> West Sacramento, CA 95605 <br /> Phone(916)3735600 Fax(916)372-1059 TK Lr wEr+rH rNvratx+ur,«ru Trsrwn <br /> Ssmp:or. Lab PM: Cerner Tracking ND(e): COC No: <br /> Client Information Sub Contract Lab Laver,Linda C. 320-28682.1 <br /> Client Cartact Phone: E-M Pago: <br /> Shipping/ReceKing linda.laver(Qtestamericainexom Page 1 of 1 <br /> Company: job#-. <br /> Aquatic Testing Laboratories Analysis Requested 320-7388-1 <br /> dross: Duo Dm RpeoslW: 't•T.t . Y� Preservation Codes: <br /> 4350 Transport#107, �9 N,i <br /> r• �� A-HCL A,l-Harano <br /> City. AT Raquesbd(ds ): ��'" <br /> ys �r. � �j: B-NaOH N-None <br /> Ventura E s,� C-Zn Acelato 0-AsNa02 <br /> sude.Zip: ~. <br /> D-Nitric Add P-Na204S <br /> CA,93403t s .r'I' E-NQHSO4 Q-Na2S0.3 <br /> ,1F c F-WOH R-NaMSW <br /> Prarro: Po.: _ 73 <br /> k. '�'.;j: G-AmchlDr S-t4Sd1 <br /> I Z •• H-Aacoralc Add T-TSP DodocnMdmta <br /> 1 Email: r m ^ter I-Ice a-ACAA <br /> i .f-DI vuabr V-MCAA <br /> ProJoa Name: �'i� Pm}oct u; K-EDTA W-ph 0-.S <br /> J (i,y � n�, L-EDA 2-other(spotty) <br /> USPS Brake P d Characterization ( 32005616 �` <br /> Site: Other. <br /> Sampo Matrix <br /> Type (�kL <br /> ti 1 <br /> Sample (C=comp, o- m <br /> Sample Identification-Client ID Lab ID Sample Data I Time G rab) eT.tron.w.ur W m 1°• Special InstructonslNote: <br /> -, ,..:. .,_ �,.�., .. .�,... . .; •r.:�:,jS`-^0-r;.:"6fi - .° ;dfyr2�B�aN(1r�i� moi^ `11�,.:.v✓r G'7�` �'�III�-.�-..°I�d �:''„*j3�°. w�:� .,, ,...:,,... :, ,_ _..�:.: <br /> (D IDW-Stockton(320-7388-1) 517/14 08.00 Solid Pacffir X fix. <br /> p ail: <br /> � Aw� <br /> ,T, <br /> 7 <br /> Possible Hazard Ide dfication Sample Disposal(A fee may be assessed if samples are retained longer than 1 month) <br /> Unconfirmed =Retum To Client MDisposal By Lab =Archive For Months <br /> Deliverable Requested:1,11,III,IV,Other(specify) Special Instructlone»/QC Requirements: <br /> Empty Kt Relinquished by: Date: Tme: Method of snlpmant <br /> Ra Rrqu ed by: Datornrro ,�� GomDarry Rexrved Dac/Tlroc:� U2� Company <br /> inquliFcd by: OatolTinn✓ Company Roochrod 61 Patommo: Company <br /> N ReRnqulshed try. Datoml : (:ompany ReceNad by: Oato/Tlme: Company <br /> O <br /> Custody Seals Intact Custody Seal No.: Cooler TompoMWre(s)°C and Other Remarks: <br /> s d No �r <br />