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McC <br /> 7M 1534 Analytical, Inc. CHAIN-OF-CUSTODY RECORD Page 1 of 1 <br /> 1534 WilloiHo w Pass Rd <br /> Pittsburg,CA 94565-1701(925)252-9262 WorkOrder: 0809678 CGentCode: SKS <br /> ❑WrlteOn ❑EDF ❑Excel ❑Fax ©Email ❑HardCopy ❑ThirdParty ❑J-flag <br /> Report to: Bill to: Requested TAT: 1 day <br /> Jason Flores Email: jason.flores@safety-kleen.com Accounts Payable <br /> Safety Kleen cc: Safety Kleen <br /> 5050 Salida Blvd PO: 5050 Salida Blvd Date Received: 09/23/2008 <br /> Salida, CA 95366 ProjectNo: Sample A;Wast Ink Salida, CA 95368 Date Printed: 09/23/2008 <br /> (209)595-9016 FAX (209)545-3680 accountspayable@safety-kleen.com <br /> Requested Tests(Seelegend below) <br /> Lab ID Client ID Matrix Collection Date Hold 1 2 3 4 5 6 7 8 9 10 1 11 1 12 <br /> 0809678-001 1 Sample Liquid 9/19/200810:30 1 ❑ 1 A I I A <br /> 0809678-002 1 Sample B Solid 9/19/2008 10:35 1 ❑ I I A I I A <br /> Test Legend: . <br /> 1 CAM17 T MS LIQ PPM 2 CAM17MS Solid 3 FISHHAZSCREEN LI u(d 4 FISHHAZSCREEN SOLID 5 <br /> 6 1 7 8 9 1101 <br /> 11 1 1121 <br /> Prepared by: Melissa Valles <br /> Comments: <br /> NOTE: Soil samples are discarded 60 days after results are reported unless other arrangements are made(Water samples are 30 days). <br /> Hazardous samples will be returned to client or disposed of at client expense. <br />