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0 Sparger Technbrogy Analytical Laboratory-' aa58 <br />3100 FITE CIRCLE, SUITE 108 <br />SACRAMENTO, CA 95827 SAMPLE # <br />CHAIN OF CUSTODY RECORD <br />FIELD SECTION 31 L C -0-D `?yS ccv—> c�l0tj N 0 1741 <br />CLIENT NAME } x/UNL S-' G, PROJECT ADDRESS//9'ti +� 4� Si <br />NwIp r sow ny ZP <br />SAMPLED BY CONTAINERS OBTAINED FROM <br />Ns(PRINT) Orpnvznion <br />PRESERVATIVE USED <br />F1 HAZARDOUS NNON-HAZARDOUS <br />FIELD REMARKS <br />STORAGE TEMPERATURE []Ambient g40 C [] -100 C Other <br />SPECIAL HANDLING INSTRUCTIONS <br />eased by Organization <br />i <br />Released by Organization <br />Released by Organization <br />LABORATORY SECTION <br />TEMPERATURE RECEIVED <br />Daterrime <br />-Date/Time <br />FEDX AIRBILL# <br />ceivad by r izati <br />aceive by 0 iza n <br />Received by Organization <br />ANALYSIS RECORD <br />TYPE OF PERFORMED BY DATE OF RECORDED <br />ANALYSIS (Signed) ANALYSIS (Lab Book No.) <br />Date/Time <br />HAND DELIVERED <br />COMMENTS <br />White - Orioinal Yellow - Laboratory Supervisors Copy Pink - Originators Copy <br />Mai <br />REOUIRED <br />eased by Organization <br />i <br />Released by Organization <br />Released by Organization <br />LABORATORY SECTION <br />TEMPERATURE RECEIVED <br />Daterrime <br />-Date/Time <br />FEDX AIRBILL# <br />ceivad by r izati <br />aceive by 0 iza n <br />Received by Organization <br />ANALYSIS RECORD <br />TYPE OF PERFORMED BY DATE OF RECORDED <br />ANALYSIS (Signed) ANALYSIS (Lab Book No.) <br />Date/Time <br />HAND DELIVERED <br />COMMENTS <br />White - Orioinal Yellow - Laboratory Supervisors Copy Pink - Originators Copy <br />Mai <br />