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f <br /> aiscience 7440 LINCOLN WAY <br /> CHAIN r�vOF CUSTODY RECORD <br /> i <br /> nvironmental GARDEN GROVE,CA 92841-1427 DATE: zeLS <br /> f.aboratories,InC. TEL:(714)895-5494.FAX:(714)894-7501 PAGE: OF <br /> LABORATORY CLIENT: SAIC CLIENT PROJECT NAME!NUMBER: P.O.NO.: <br /> TRACY PUMP STATION/2601ISI 54A-W--410 <br /> ADDRESS: <br /> 1000 Broadway Ave,Suite#675 PROJECT CONTACT; LAB CONTACT OR QUOTE NO.: <br /> CITY: STATE: ZIP: Michael Hurd Alan B.Kemp <br /> OAKLAND CA 94607 <br /> SAMPLER(S):(SIGNATURE) <br /> TEL: FAX: E-MAIL: <br /> 510-466-7161 510-446-7919 hurdm@saic.comMal <br /> TURNAROUND TIME: <br /> ❑SAME DAY ❑24 HR ❑48 HR 72 HR ❑5 DAYS ❑ 10 DAYS REQUESTED ANALYSIS <br /> SPECIAL REQUIREMENTS(ADDITIONAL COSTS MAY AP Y) <br /> ❑ RWQCB REPORTING ❑ARCHIVE SAMPLES UNTIL 1 I <br /> SPECIAL INSTRUCTIONS,, <br /> Please analyze for 18 PAHs. �d Pg � �J 1 Y1j Itis. <br /> cn <br /> w o m <br /> LAB SAMPLING NO. v w X <br /> USE SAMPLE ID LOCATION/ <br /> DESCRIPTION MATRIX OF Q F <br /> ONLY DATE TIME CONT, H 1L m <br /> 5'- r-2-33 q, X <br /> q _ 1-7 <br /> Relinquished by:(Signature) Received by:(Signature) Date: Time: <br /> � yC (y-(20C (I t 3� <br /> Relinquished by:(Signature) Received by:(Signature) Date: Time: <br /> 1,9/261 <br /> Relinquished by:(Signature) Received by:(Signature) Date: Time: <br /> O <br /> 02/24/10 RevisiaaL <br /> W <br /> Return to Contents <br />