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I SPARGE ECHNOLOGY, INC. CHAIN OF CUSTODY RECORD <br /> } <br /> Analytical Laboratory Phone: (916) 362-8947 <br /> 3050 Fite Circle,X112 Sacramento, CA 95827 FAX: (916)362-0947 �} ` <br /> Company: APEX ENVIROTECH, INC . Phone:(916 ) 535-0200 / y ' <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 *: REM $: r WET (BTEC) <br /> Project Location: syq f C P.O. x: 7 TCLP <br /> cf4- Aoz�o0 <br /> Preservative TCLP Total <br /> Sampling Container used Matrix TAT <br /> L <br /> � N <br /> O co <br /> au O <br /> N_ C a <br /> In O N N N <br /> _ o <br /> O o In W z <br /> 00 m v y CO <br /> CO <br /> o <br /> = N v _ o a v <br /> M O O U O1 N = <br /> O oo N m N N 0. U <br /> N N O N mU It N — K N cr <br /> ro 0 tf> d d N in C14 C14 O CI y U ^ C <br /> 1--� W O _ O 0 0 0 O O a p y b <br /> N Co Co <} 11 Y <br /> e U � O t..0._ O O O O N N o O m <br /> 0o M N = ` c0 co 00 00 00 00 0 m o <br /> � fn .0 E' O 0. y N CO 00 a N J n Z <br /> J .. ca <br /> z .. .. t m O O O O N N O O O N N <br /> m <br /> cD 1D tD 'D 07 to 0. 'C V <br /> eti J al .'�.. V O O O N N 0. 0. 0. 0. 0. 0. 0. O O 7 O <br /> SAMPLE ID Date Time m 7+ o m z o Q O Co m F- w w W I W W F z 10 1 cc 0 0 J to a = <br /> 11001 1-15-47 �'3 S 1 A x, st <br /> S I g=y0 t <br /> Relinq '` c��b :, Received - Relinquished by: Received by: <br /> Bate: 1 ' I Time: Date: Time: /;'/J Date: Time: Date: Time: <br />