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SYRRGER TECHNOLOGY, INC. CHAIN OF CUSTODY RECORD <br /> Analytical Laboratory Phone 19161362-8947 <br /> 3050 Fite Circle,#112 Sacramento, CA 95827 FAX 19161362-0947 <br /> Company Phone <br /> Project Manager �ff� 6J- &ooEdFAX STAL Invoice Number <br /> Report Address Billing Name&Address <br /> W 11104rH (QLCL C c ANALYSIS REQUEST <br /> Protect Name �tL/yi�2 %t,�jgcb Project/Job# �C���b / REMARKS WET(STLC1 <br /> Project Location �,�f C fr{cKOKc� CI! P O # TCLP <br /> Preservative TCLP Total <br /> Sampling Container Used Matrix TAT <br /> t <br /> � N <br /> O ao <br /> ao O <br /> _ N 2 <br /> O N N <br /> OO N �_ Z <br /> _ 00 <br /> 00 <br /> X011 10f7 0 <br /> 0 m G N c7 c0 N 1.0 N a L) m <br /> a N U v in Zn <br /> O o C4 CC <br /> in 0. a N a U n v <br /> p 0 0 U co d O N to DO r, <br /> 00 0 d N = t a0`D c0`o a0�o a0�0 aN`o aN`D .a o 22 <br /> � y O m a N 00 c0 O O O O N Itl — m J r to m C <br /> J N E Z t m N N p O " m N <br /> uei e S m m z `p X X W a0 m m m <br /> p m J LD r U O .�+ G +r�+ FesUJ- H a d em+ 7 O <br /> SAMPLE ID Date Time �T m N o z a 3 N a o m m F- W W W c, W W F- z o 0C V V J N oc z <br /> 3 i000I--g ?.Zz y )CX X <br /> R mqu hed by Rec iv d y Relinquished by Received by <br /> + Date 1 Time 07,5`v Date �/✓ Time 5 to Time Date pie <br />