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R iftC.m m M m VJAMORMWST�Yi"OW& <br /> Analytical Laboratory Phone (916)362-8947 <br /> .O,C. No. 110 10 <br /> FAX (916}362-0947 Pae Z of STAL Invoice Number <br /> 3050 Fite Circle #112 Sacramento CA 95827 ANALYSIS REQUEST <br /> Company GEOCON 852 .9118 Phone <br /> 852-9132 REMARKS CALTRANS 53W202 Sampler's Name <br /> Project Manager R• Walls FAX _ ` <br /> Report Address Billing Name&Address <br /> 3235 Sunrise Blvd. #6 k rort +4041.'s MDID AW54-b <br /> Rancho Cordova CA 95742 All None Some <br /> OK OK OK WET STLC <br /> Project Name STOCKTON YARD Pro}ect/Job# <br /> S$100-06-11B 7oo7Temp °C <br /> e Conditlan TCLP <br /> Project Location Stockton CA PO# 53W202 H <br /> TCLP Total <br /> p <br /> Preservative TAT <br /> Sampling Container Used Matrix <br /> m <br /> N <br /> 0 ie <br /> 0 ao Z <br /> coo m a a <br /> co <br /> CL <br /> 0 0 0a 2 <br /> Ln a in CL U <br /> m CO o c� m N S = Q <br /> y Iq � y o r <br /> 0r, o ° o a af N N y C7 U c <br /> p E .� us to m y w m <br /> U <br /> 0 0- m CO C d C7 O <br /> > 2 w aQo m m m � C5 8 J as <br /> a0 `m Q O CL <br /> aNi a o 0 0 N N o —' <br /> > rn M _J z x a m 0 � co W m O a y o <br /> E y` �_ �' m m �' W W 2 ¢ ¢ ¢ <br /> E W `O L U O t p L !- F- d W W W W W H Z O CL U U J US CC <br /> NO SAMPLE ID Date Time Q N o = z 0 m Q o m <br /> X <br /> 1 �w°t- N or z 095 X <br /> 2 p�1w9- /i Ioo S <br /> 3 /1ilJg-!3 /oto X <br /> 4 Mr,r9-I y /030 X I )( <br /> I � � <br /> 5 N40 - IJayD <br /> 6 M4/4 L I100 <br /> 7 /111// -I (z5 13 SS x <br /> 8 MW 1O -Z 14o5 >; X <br /> 9 AW#, -3 /4.1 <br /> 4 <br /> 10 Mr,118 - `f I41 <br /> i�iS R ing she y Re eiv b <br /> Reiff guise Si by Received by <br /> Date C i�'>r/y L Time /f S Date a• <br /> /'>�� (Time �y' Sl Date / + 45 Time �� Date I Time l '0 <br /> PLEASE READ REVERSE SIDE FORT RMS AND CONDITIONS <br />