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I i i 1 I t [ t [ 1 t —i —i —{ —[ —4 --A --i -.---L_... <br /> SPARGE,( ECHNOLOGY, INC. CHAINOF CUSTODY RECO, <br /> 3050 Flt• Circle, Suits 112 Phone: 19161 362.8947 <br /> Sacramento, CA 95827 FAX: 19161 362.0947 <br /> Project Manager: n�� 1 Phone: gas- Q 2.00 <br /> cr Fax: 535 - 020-7 <br /> Report Add rear.��t:D( CM V146 //,/rl7C, Billing Addreea: Number: <br /> 7 qLl N h?ad►s,-,r► !q✓,, S fe 106 <br /> 1,5-1 it Orn 466 Protect Name: � Project �: ANALYSIS REQUEST <br /> N1var>° P 0% L;L*d Z , O REMARKS: WET (STLC) <br /> Project Location: P.O. Y: <br /> „ .�>`r ref �IZJ�O Z .O QTCLP <br /> C, <br /> TCLP Total <br /> Sampling Container Preservative Used Matrix TAT <br /> co <br /> 0 _ N <br /> N <br /> N O O <br /> cc <br /> O !`1 <br /> O 7 N <br /> O M O a ,. V <br /> N N N <br /> ri O o u a N .: 1 <br /> O N D 00 N N U <br /> NN C N » (� V N ` 0 <br /> O O O o O. NN N L <br /> > \ Co <br /> V Co tL O N OD wf ~ 1 <br /> 7 • <br /> O PC1 N p O O O O N N (7 u <br /> > - O p 4 e N to 't to J ill S <br /> E ; E o + X X v to 0) o ° ^ C to <br /> ° ? <br /> SAMPLE ID Date Time g c3 N o i z o 3 rn < a o~o m M W w w w w 4. Q �° u u o l-j <br /> Iti o i -Gf-9� "O ( k <br /> cc <br /> x k <br /> iK_o <br /> I T <br /> Relinquisheed.by: Received by: Relinquished by: Received by: <br />