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SPARGER TECHNOLOGY, INC. CHAINOF CUSTODY RECORD <br /> 3050 Fite Circle,Suite 112 Phone: (916) 362.6947 <br /> Sacramento,CA 95627 FAX: (916) 362.0947 <br /> Project Manager: Phone: 5 35 .. 0 zoo <br /> TDM LQ w/� Fax: S 5 .-- z ' <br /> Report Address: Billing Address: Number: <br /> �'Z i Qat <br /> Project Name: Project x: ANALYSIS REQUEST <br /> R00 t'e pLo<{Ybr(PUfyl E K40Z•CC) Y REMARKS: WET (STLQ <br /> Project Location: P.O. 8: <br /> y� 1 TCLP <br /> /3Zh> 1 elT TCLP <br /> Total <br /> Sampling Container Preservative Used Matrix TAT <br /> Co <br /> O N <br /> tn C .- <br /> tn N N <br /> N O o <br /> O N 2 <br /> Co Ou L <br /> O 0O o O a <br /> NN <br /> O O N N <br /> M » to t <br /> 0 cc N V N <br /> to <br /> ttQ N O 7 N V 7 <br /> O S O O 0 . N N O r cc <br /> 0 o N ,� E to a _ to to 4 w V a <br /> O LU O A = N0 0 00 00 O^ O <br /> Q > d q U ip d O O O O N N $ o o p <br /> ° O M N = to w O 0 V O <br /> N E E 2 t r°o m m o ° ^ rn <br /> E „ m `o = e o `o X X V a <br /> o a O c c t q - t w w I ¢ Q Q Q 4 Q 2 o r o <br /> SAMPLE ID Date Time $ m N o x z° °" 3 N a o" o~o m ►°L- w w w w w w o` l° c4i u o i <br /> MA)—I -1/-1 /2:o-1 z I II Ix <br /> Al kJ-z J/:9 z z Y <br /> j1: :3C z <br /> W' //.,06 z �c <br /> u1-5 /#56 x <br /> ly <br /> Relinquished by: Received by: Relinquished by: Received by: <br /> Da e: I Time: Date: Time: Date: Time: Date: Time: <br /> y—1/-q5 iy: zv 4-»-q7' iU A) <br />