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CHAIN OF CUSTODY <br /> FED-EX Tracki198 <br /> 2905 Lundy Ave,Can Jose,CA 95131 Bolua oraar convma <br /> (408)588-0200 FAX:(408)588-0209 Aautestamlaa9 <br /> Accutest NC Jab#:C <br /> LAR O R A T 0 R 1 E5 <br /> Client e o In norma Ion ',t Project Information Requested Analysis a nx o es <br /> ComPanY Name N l� 5"-v N j l t y Lit Project Name: 'I�/.c, t t/(� wVJ�VJastd W- <br /> 1 fV 7 l r� <br /> - YG cvJ-croane wafer <br /> Addresx �t p) �y (� Sneer /� l sw"sud.Water <br /> T Lei I✓1{S�9 t7 L yr i T�S b l�14 5- _ so.ae:l <br /> city Stale Zip City Slate O ��\ <br /> CAjoulDG- I V L�' VJP-tY.pe <br /> Project Coniacb `L Proiect6 � ,� J� I <br /> Phone EMAIL: 'r-� C'),p t,,f �} � �� 1^ Lt0-Nortaqueovs ligv�e <br /> b or( `s,)V-0o -ekl I,j- 4�T4+.5 C." _ Ci"J �-�y ._ AIR <br /> Samplers'.Name } � Client Purchase Order k • Dw-Onnkir,gwao, <br /> (P—b,Onhi) <br /> Accutest Collection U{}+ Number of preserved Bottles <br /> Sample Otto g w 8 LAB USE ONLY <br /> ID Sample ID I Field Point I Point of Collection Data Time sampled by n4,nm Domes i g f <br /> i A ti 11 (lo 12 5>y 1i <br /> 1� S IZ <br /> I M+-H- <br /> l5 5 y�r IZ�s l <br /> —+ I H <br /> Turnamune Time(Business days) I <br /> Dasa Delivemb-e Informal on Comments/Remarks <br /> Approved Byd pate: <br /> Cammerc(al"B"-Results with QC summaries <br /> Standard TAT Gt li REDT1.Level 3 data packags <br /> 3 Day{applicable markup) t/ o FULTI-Level 4 data package <br /> 2 Day(applicable markup) Q EDF for Geotracker O EDD Format <br /> I Day(applicable madcap) Provide EDF Global ID <br /> Provlde EDF Logcode: <br /> Emergency TIA data available VIA Lablink <br /> Sample Custody must be documented below eac time sum change possession,inciu I g c Her delivery. <br /> Rellnqu1riad by Sampler: Date Time: Recelve Relinq.NWd By nate Time: Received by <br /> 1 n VI6 SU� V t/. 2 <br /> Relinqulshad by: Date Time: Itecely dBy: Rdingeixhod By' Dip lime: Received By: <br /> 3 3 4 4 <br /> Re11nqu156ed by: Date Rme: Racalved Ry: c.,eAayaeeiP Coda,Temp. <br /> 5 5 On Ice Y I N Number of coolers x <br /> C31148: Chain of Custody <br /> Page 2 of 3 <br /> ■ 47 of 80 <br /> R�rutJT��T <br /> C31148 <br />