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.4zpARGd ECHNOLOGY, INC. CHAIN OF CUSTODY RECORD C <br /> Analytical Laboratory Phone: (916) 362-8947 <br /> 3050 Fite Circle, X112 Sacramento, CA 95827 FAX: (916)362-0947 2 <br /> Company: Phone: <br /> APEX ENVIROTECH, INC . (916) 535-0200 <br /> Project Manager: JEFFREY ROTHGERY FAX:(916 ) 535-0207 STAL Invoice Number: <br /> Report Address: Billing Name &Address: <br /> 7844 Madison Avenue , Ste 106 <br /> Fair Oaks , CA 95628 ANALYSIS REQUEST <br /> Project Name: Project/Job X: REMARKS: WET(STLC) <br /> 14100 re IDs Ho�v A' el:?-40Z .0 C7� <br /> Project Location: 5L{eT I F P.O. A: <br /> TCLP <br /> 0001 f-a r <br /> Preservative TCLP Total <br /> Sampling Container used Matrix TAT <br /> L <br /> lA N <br /> O aD <br /> N O <br /> o w c -C <br /> to C !n N N <br /> O O 00 z <br /> ct1 O �f0 0 0` v a a <br /> N — Lf) "� N t <br /> a0`0 O C <br /> N o m N N d U tf) ` <br /> N_ " O N NO U tY N "' N Cr <br /> OO O a n. N N C U ►� <br /> Cb O cp E N M N o V. C <br /> oN 00 00 rr <br /> m w n- O- O O O N N 0 O w O <br /> C, U N = aD 00 0`o Go ao m .� J m <br /> o �° E__4O n m r ao 00 v rn — v > <br /> E o a m ? 0 . o c X X v m m o ao w c t v <br /> °' t c c m - w w = Q Q Q Q Q Q ., o M t) Q Q o o <br /> SAMPLE ID Date Time O `� -' ,=� U o 'o F- ►- a a_ a a- n. a a o <br /> v m O 2 z O 3 to Q O m m w w w w w w F- z O ac U V to <br /> Mw- (-i -4 17=3 2 d kV I <br /> 'Pr w-Z i2;► 2 ,x K <br /> ID, 5 2 x a <br /> Z f <br /> Rehnq Received by: Relinquished by: Received by: <br /> Date: 1"� "� Time: I '� Date: /1� i Time: , 5�^ Date: Time: Date: Time: <br />