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A SAMPLE CUSTODY ao `Ad1 409, <br /> �r�p = - • - CLIENT: CONTACT NAME: PHONE p: <br /> EAA _ C. 1— Sic-6 13v 3 969 8 778 <br /> — Water& Hazardous Waste ADDRESS: CITY: STATE: IP: PROD.MGR: <br /> "Sampling,Analysis, &Consultation '3( QO 5- LJdvra,-,mtk 51d, ce CO go 2 <br /> 1885 N.KELLY ROAD • NAPA,CA 94558 BILLING ADDRESS: P.O.R: FAX PHONE: <br /> (707) 258-4000 • Fax (707) 226.1001 ur� 3-9¢—n Z i-7 <br /> PROJECT N: 1PROJECT NAME: _c5fve_k vrr,, SAMPLER INT SIGN NA ANAL ES REQUESTED DUE DATE: <br /> A!5 1Z <br /> SLABp COMP. Q <br /> DATE TIME CONTAINER (Non- or CALTEST <br /> LAB# <br /> SAMPLED SAMPLED MATRIX AMOUNT/Tl'PE PRESEFIVhTNE SAMPLE DESCRIPTION/SITE Caltest GRAB REMARKS LAB# <br /> M <br /> "A4 to3o SL 5 ''S (C� AC-1 Prk ' s ` <br /> M <br /> 1 SAC-2- L(Vc d e 04 kZA <br /> 05 Sac-3 '�4vE Ile NOIL <br /> � o Sac, C sae ` -2 <br /> �� , <br /> oSS SAC-S 4 vat P CAT '� _3 <br /> RELINQUISHED BY DATE/TIME RECEIVED BY RELINQUISHED BY DATE/TIME RECEIVED BY <br /> VAr <br /> OUa <br /> CO <br /> SHIPPING METHOD: SHIPPING A: RE EIVED Y: ATE/TIME: CONDITION: CONTAINER TYPES: MATRIX: <br /> AL . AMBER LITER AO . Nondrinking Water <br /> > <br /> COLD6A I SEALED6Y INTAC V N AOL- 250 ml.AMBER Digested Metals <br /> Z W a AHL . 500 ml.AMBER W • Wastewaters <br /> w REMARKS: J Pt . Pint(Plastic) Non-Digested Metals <br /> �• 7 ^ HG . Half Gallon(Plastic) FE . Low DLS:Final Effluent <br /> KU'g' pi-R.I a_ 4:2o ' rPA-D ST Cx SJ . Soil Jar DW . Drinking Water <br /> B4 . 4 oz.SACT SL . Soil/Sludge/Solid <br /> di"!/ ¢ - BT . Brass Tube AR . Air <br /> VOA. VOA(40 mi.) IW . Irrigation Water <br /> I& OTC- Other Type Container Non-Digested Metals <br /> 01 vl~5 <br />