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Billing tnforrnation CHAIN-OF-CUSTODY RECORD CA Page 9 of i <br /> Alpha Analytical, Inc. WorkOrder : STR05092103 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> TEL (775)355-1044 FAX (775)355-0406 Report Due By : 5.00 PM On • 29-Sep-05 <br /> Client Steve Carter <br /> Stratus Environmental TEL (530)676-6008 <br /> 3330 Cameron Park Drive FAX (530)676-6005 EDD Required Yes <br /> Suite 550 EMail scarter@stratusinc net <br /> Sampled by C Hill <br /> Cameron Park,CA 95682-8861 <br /> Report Attention Steve Carter Job Cooler Ternp 4°C Date Printed <br /> CC Report PO Client's COC# 09554 21-Sep-05 <br /> QC Level S3 = Final Rpt,MBLK,LCS,MSIMSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No of Bottles TPWP W voC w <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# Sample Remarks <br /> STRO5092103-01 MW-13 AQ 1 09/20/05 5 0 6 GAS-c BTEwoxvr <br /> 0831 i,2ocAren <br /> BC <br /> STRO5092103-0MW-14 AQ 09120/05 5 0 6 GAS-C BTEwaxv! <br /> 0905 1'2DCAIED <br /> BC <br /> STROW92103-03 AS-1 AQ 09/20/05 5 0 6 GAS-C BTEx10xY! <br /> 08 45 i 2DCAJED <br /> BC <br /> Comments Security seals intact,frozen ice Send copy of recerot checklist with final revort <br /> Print Name Company Date!)(ime <br /> Srgnatur$ <br /> Received by t�J j' - c _C s:_� ` - - -f� r Alpha Analytical,Inc <br /> NOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples wd1 be returned to client or disposed of at client expense <br /> The report for the analysis of the above samples is applicable only to those samples received by the laboratory with this COC The liability of the laboratory is limited to the amount paid for the report <br /> Matrix Type AQ(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Dnnking Water) OT(Other) Bottle Type L-Liter V-Voa S-Sad Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />