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Batch No <br /> HYDR <br /> EN V IR MENTAL Chain of Custody CA PO-2108 <br /> TEC HN OGIES, INC of I <br /> Page <br /> 2394 Mariner Square Drive Suite 2, Alameda, CA 94501 <br /> 9/ 1 12000 <br /> 510-521-2684 (voice) 510 521-5078 (fax) dale <br /> Analysis Request <br /> Lab Mame Chroindlab, Inc <br /> Address 1220 Quarry Lane <br /> a, <br /> Pleasanton, CA 94566-4756 <br /> Z � lu <br /> o m S o <br /> v � m m o m n $ 8 GG <br /> C y 3 <br /> Telephone 925-484-1919 C <br /> 7��IK <br /> W S 4 a u j o F x¢ N+ b a 7 7 m E <br /> 5U. <br /> 41, F- F Y o o O u Q c. m V c <br /> Sample NUtnber Matrix Location F° r p m r > > > " d d � � a a F <br /> 1 000901 y'4 water MW-1 <br /> z 000901 I 1 11 water MW-2 <br /> 3 000901 "t I >>_' water MW-3 T. <br /> 4 <br /> } <br /> 6 <br /> l <br /> 8 <br /> 9 <br /> 102 Rtltn+uichcd fly 3 <br /> Relinquished Ry I Relinquished lis <br /> Project Infurniitfon Sample Receipt t <br /> Project Nance lural Nu of LonEmnns r, +! 1/ j <br /> CCnti,ll CA I FW10n Co f f{F f. + 4 i V' (Time) <br /> {ni)ttl�S u++f.ti Chain ni Cu,ndy Scab IS�g/uwel <br /> (I1111[)Itiignalurtl Iluntl ISlgu+twr} <br /> Avaktan Olit',1 Ih l35 <br /> fl7 nil I I'nnlyd N unci (Dalt) <br /> m <br /> Ire,d Cx)ruCundnwutt old IIS ed Name) (t)al(prnued Name) <br /> Job No 007-346 4� �!J l a� m <br /> Shipping ID No lonfo+m,u,Ramd <br /> +Comp�np) tCnmpany) i Cnnq,my l <br /> Iib No Received By <br /> 1 Received By 2 Recened B) (Lahorutnrv} 3 <br /> i <br /> Via 11a1)d <br /> {Time) <br /> (Slgnamrci (TImeJ 151gna[urc) ITlmtl mu ) 0 <br /> Special InstruchonidComments 4CwV I V <br /> {Dale)Elkmied Name) (D ue) int d Name) (Date) <br /> (!'rimed Namc) q r 00 <br /> Standard Turn Aiound I tine <br /> )Company) {company) luboratury) 8 `r <br />