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i <br /> CHAIN OF CUSTODY/ANALYSIS REQUEST ; <br /> Attention Mark Dysert Phone (650)799-9204 Billing(if different) <br /> Company Name Dysert Environmental,Inc. Email environmental.data@gmail.com Attn:Accounts Payable <br /> Mailing Address P.O.Box 5608 _ Mobile Dysert Environmental,Inc. <br /> I <br /> City,State&Zip San Mateo,CA 94402 P.O.No. I UZ P.O.Box 5608 I <br /> Laboratory ANC C� Sampler/s San Mateo,CA 94402 i <br /> Project <br /> Project <br /> Pactiv Packaging,Inc. Pactiv Packaging, Inc. sampling code= <br /> I <br /> 4545 Qantas Lane 4545 Qantas Lane Pactiv,ran <br /> Name Stockton,CA 95206 Location Stockton,CA 95206 i <br /> Sample Matrix= Field Notes: j <br /> Wastewater $ <br /> Turn Around t <br /> Time=5 Day <br /> Sample ID: Date: Time: No.of K <br /> rContainers <br /> fa ILPLRP X <br /> I <br /> I <br /> R<linqds 4y Ae<elved4y � llm la I <br /> �_ _ �� (� Additional Mailing Instructions: <br /> VOW— <br /> am.rNe oy a«ems ey �� i,me /� 01�/�oL <br /> RO.,q—hed by RecA«dny ` Ila... <br /> Lab Notes:Notes: <br /> Notes.- <br /> Please <br /> otes:Please hold addll 1 L PL NP <br /> Sample Temperature Upon Receipt in Lab- <br /> Dysert Environmental,Inc. Tel:(650) 799-9204 <br /> ELAP#2764 Web:DysertEnvironmentat con) page 1 of 1 Z <br /> I <br /> ('41952: Chain of Custo(lc <br /> Page 1 of 2 <br /> ■, 8of19 <br /> 0 ACCLJTEBT <br /> cale5z <br />