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CHAIN O CUSTODY RECORD <br /> alscience 7440 LINCOLN WAY / <br /> nvironmental GARDEN GROVE,CA 9 2841-1 427 DATE: <br /> aboratories, Inc. TEL:(714)895-5494.FAX:(714)894-7501 PAGE: OF <br /> A. <br /> LABORATORY CLIENT: <br /> CLIENT PROJECT—NAME/NUMBER: P.O.NO.: <br /> SAIL <br /> TRACY PUMP STATION/26011S154A-R10-410 <br /> ADDRESS: LAB CONTACT OR QUOTE NO.: <br /> 1000 Broadway Ave,Suite#675 PROJECT CONTACT: <br /> CITY: STATE: ZIP: Justin SObleraj Alan B.Kemp <br /> OAKLAND CA 94607 LAB.USE.ONLY <br /> SAM7�ER/):V�I N RE)t ! <br /> TEL: FAX: EMAIL: .�.,.i2_I ® <br /> 510-466-7119 510-446-7919 sobieraia@saic.com <br /> ffl <br /> TURNAROUND TIME: REQUESTED ANALYSIS <br /> ❑SAME DAY ❑24 HR ❑48 HR ❑72 HR 5 DAYS ❑ 10 DAYS <br /> SPECIAL REQUIREMENTS(ADDITIONAL COSTS MAY APPLY) <br /> ❑ RWQCB REPORTING ❑ARCHIVE SAMPLES UNTIL <br /> SPECIAL INSTRUCTIONS: <br /> Please analyze for 18 PAHs. <br /> m N m <br /> Ln O O <br /> � W W <br /> LAB LOCATION/ SAMPLING MATRIX OF x uJ <br /> USE SAMPLE ID DESCRIPTIONDATE TIME CONT. a m <br /> ONLY <br /> 2� f7 <br /> 3 56 - <br /> z -� �. �1 <br /> 030 <br /> ✓ 07_ql <br /> I <br /> 2q —� <br /> Time: <br /> Relinquis�y: Sign tur <br /> Recei �ature) Date:Reli uis Signa ure) Receivee) _atE. Time: <br /> �o G�17 LLt t —c) -6--77-7— Time: <br /> Reoeived by:(Signature) (D <br /> Relinquis a y:(Signatu <br /> W <br /> 02/24/10 Revision O <br /> W <br /> v <br />