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B <br /> 00 <br /> T <br /> CHAIN OF CUSTODY / ANALYSIS REQUEST 'S Q <br /> Attention Mark Dysert Phone (650)799-9204 Billing (if different) <br /> Company Name Dysert Environmental Email environmental.data@gmail.com Attn:Accounts Payable <br /> Mailing Address P.O Box 5608 Fax (650)627-4968 Dysert Environmental,Inc. <br /> City, State & Zip San Mateo, CA 94402 P.O. No. Hy b -- P.O Box 5608 <br /> Lab I.D. T4. Sampler/s ] f San Mateo, CA 94402 <br /> � �l. j�i�,ld•'vt � - <br /> Project •� Project 953 Hobart Street Sampling Code <br /> Name 7 alto <br /> Qto 4 Location Menlo Park, CA <br /> it Estimate#: <br /> Sample Matrix Samole Container used: _ `a <br /> Solid r U o M m a co v Q 4 i <br /> 1-9 8oz GL Jar C7 r1 m v to — C)U3 W cm cm Q c v� C <br /> Turn Around '; `�' a- M Nm mw ° ® Q Cy ° �'a °`° w � o � � o`r' m «� <br /> T g m FQ U © C7 rn �Uc� c�i m m r. > a u V� ® rnm <br /> Time • P o-- o ,}to oN _ " �' o °0.o ov `m a <br /> � m C V CO L. <br /> 2 ,y CO > ca 0. Z p 2 C 4i w C ro Q G <br /> NO. Of ci Q ism f6M y a L1 UJ w >;• " a" n <br /> a a 0 ao v ` `-' O a -J �a u � <br /> Sample ID: Date: Time: ,� v <br /> Containers `- a ; 0 <br /> y S3-2' s 1'I S'' /L1 L i' t X 160Z GL JAR X 4} <br /> Q <br /> SC3-3' <br /> � <br /> [j J��l F? i X 1602 GL JAR X 0- <br /> S3-6' tf// - 602 GL JAR X X X X X <br /> 1 S4-1' I�(1 1 X 1602 GL JAR X_ <br /> P I <br /> S4-2' ! f y 1 1 X$60Z GL JAR X <br /> J SS4-3' l i,} 1 X 1602 GL JAR X <br /> { S4-9' �!.I ill Li G._ x% OT GL JAR x X X X X <br /> J Relinquished by Rpceivedby Tlme Date g- Lab Notes: <br /> Please"J"Flag results<RL and >MDL. <br /> RelinquIghed'by Rccewed tsy 4 Time Y Date <br /> 1 ` Please report TPH D/MO/G in mg/kg. Need <br /> Rchnqu�shetl by �eceeved by Time Da <br /> �G�CC � � r -� � � ! lowest possible RLIMDL for Pesticides and <br /> R k�nqu nea b krte,�e ,,y mr Dat / SVOCs. Endrin and Endrin Aldehyde need <br /> t-( dr ► _ _ I�A ou 0.65 uq/Kq u /KMDL. Please do not dilute. <br /> Note by' C U Samili No#es: l r <br /> Were amp es ie d from field sampling? tti t-L C ONSITE CONTACT: <br /> E <br /> Were samples recteved in a cooler ith ice's Xes <br /> What type of ice was used? L ./f— Sample Location Map Attached YES r NO(circle one) <br /> Sample Temperature and Time Upon Recepit in Lab= <br /> Dyserf Environmental loc (ELAP#2764) Page 2 of � <br /> Tel (650) 799-9204 Wets DvsertEnwroomental cot?) <br />