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SACOC <br /> r - <br /> CHAIN OF CUSTODY <br /> est <br /> merica Cl 885 Jarvis Drive•Morgan Hill,CA 95037. 40 776-9500• FAX 408 <br /> ( 8) ( )782-63(18 <br /> y. <br /> ANALYTICAL TESTING CORPORATION 819 Stnlwr Ave.,Suite 8•Sacramento,CA 95834•(916)921.9600• FAX(818)921.0100 <br /> f onrparty Name: . Project R SS <br /> Wmg Address: Q W49 Address Of dltferen <br /> CI I. Slate: Cade: <br /> Telephone: Fax 8• 2 4 — 6 y( P.O.1: zood <br /> Rwd To: adw 4e [/E-MaA Address: c� ©Level" O i rwei III C]Level IV <br /> Sampler RpAiger(V; . Dale/Time Results R Test America Work Older# <br /> Turnw=W O 10-15 Wb*bg Days O 72 mm MA[VbI1riDR►ri ANALYSES R ESTE} lease ormovide meth <br /> Time: (Standard TAT) O 48 hours O SDWA(D bftQ Waist) <br /> O 7 Worklhg Days Q 24 hairs O CNA(Waste Watery <br /> O 5 Warking Days Q 2.8 trouts C1 RCFtA d DU>er (Elam dais Waste) <br /> Client Date!Tuna Maida 801 Container Test America's w Comments/Temp. <br /> Sample I.D. s.. Sampled DaCant Type Sample 6 01 <br /> Of required) <br /> 3. <br /> 4. <br /> 5. <br /> 6. <br /> 7. <br /> 8. <br /> Iwo <br /> ReMqulshed by1Co.: Received by/Coe Dafernme/Temp: 'f <br /> u4lwdby/Co-: p,IRocelved 1Co» Date/TEmolTOW <br /> Relingtdshed by/Co.. "FtZbyl .; nalonble/Temp: 7S5 <br /> J <br /> Were Samples Received In Conditlonfi Gas ©No Sampl ©No a o Shipment <br /> Note:By reorquMft s nples to rest AmedM dloM agrees to pay for the services rMested on lids drain of aalody town and any addiiimtei analyses parlurmed an tats prof. <br /> Payment for services is due wlOdn 30 days!roast the dale of the imolce.Sample(s)wM•be disposed.of atter 30 days. <br /> White: Test America Yellow: Tast America tank: Caen) <br />