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188111 KELLY ROAD NAPA,CA 94558 (707)256 4400 FAX(707)225-1001 PAGE y OF t <br /> Caltest SAMPLE CHAIN OF CUSTODY <br /> rR-0ECTNAMEJI PROJECTNUMBER _ Po* LAB ORDERA <br /> Al7A>F..7f17[T.#L�lRQith1`QiIY09Ui58 CC90158 <br /> CLIENT REPORT TO (rvtle one) r <br /> Caltest Analytical Laboratory Charlya Heang ANALYSED REQUESTED <br /> MAI UNG ADDRESS STATE IIP to <br /> F- <br /> ti <br /> 1895N Kelly Road CA 94558 -z <br /> TURN AROUND TIME <br /> BILLING ADDRESS ATTN Q U <br /> } N U <br /> Same Same qSTANDARD <br /> PHONEk �FAXPHONF' ISAMPLEA(PRINT S SIGN NAME) O <br /> LU <br /> 707!258 4000 707!226-1001 CLIENT Y <br /> [:]ftL1511 <br /> U J J c <br /> z Z DLIC DATE u <br /> OLL <br /> r <br /> CONTAINEA f.y U <br /> GALTESI DATE TIME SAMPLE TYPE! PRESERYATEVE SAMPLE 1iaENTEFfCATION!SITE F- ab <br /> LADE SAMPLED SAMPLED MATRIX AMOUNT REMARKS w <br /> CL To <br /> UJ N CL CJ - <br /> 09 0502 1310 FE AL NONE EFFLUENT FLAG CITY CHEVRONX Please include P 0 NUMBER, <br /> PROJECT NUMBER,and SAMPLE w <br /> ID/SITE on REPORT and INvoiCE <br /> Please RETURN COOLER <br /> s <br /> z <br /> �Cq <br /> 3 <br /> RELINQUISHED BY DATEITIME RECEIVED BY RELINQUISHED BY DATFITIME RECEIVED 6Y <br /> STmplw VJC MICRO BIQ AA 5V VOA 'MATRIX AQ=Aqueous Nondr*tkang Water <br /> pH7 YIN TEMP EAkE3+ YAi TNTACY rirL Dgas%d Metals;FE-Low RLL*,Aqueous <br /> Nondrinking Water Digested Metals DW- <br /> r BD 8M, WG M $uBCDNTTIACYiARNAME, DrinlangWaterSL-Sod Sludge Salad FP- <br /> Cc µ By voa ALTA ANALYTICAL Lk806pT©RY <br /> ^CONTAINER TYPES AL-Amber LRsr AHL- <br /> Soo m!Amber PT.Pint(Plastic) OT=Quart <br /> m SIL FIR — PT — QT v VOA (Plastic) HG-H&VGallon(Plaslir) SJ-Sa1Jar <br /> ba70 HvkttR Mathews Parkway B4-40z SACT BT-Brass Tube VOA-4DmL <br /> t mwM Hr904 WH EI Domjlo dills,CA 95762 VOA,OTC OtharType Oomamer <br /> PIL wcO ;iso, NeOH HCL PH(916)983.1640 FAX(91&}933-0940 <br /> A EH M F <br /> Project 22791 Page 10 of 11 <br />