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CHAIN O CUSTODY RECORD <br /> alsGienCE 7440 LINCOLN WAY <br /> DATE: <br /> :environmental GARDEN GROVE,CA 92841-1427 <br /> PAGE: OF <br /> A.ahoratoriss,InC. TEL:(714)895-5494.FAX:(714)594-7501 <br /> ---6ffeNTPRcU T NAME 1 NULSER: <br /> LABORATORY CLI NT: SAIC <br /> TRACY PUMP STATION/26011 S154A-R10-410 <br /> ADDRESS: PROJECT CONTACT: LAB CONTACT OR QUOTE NO.: <br /> 1000 Broadway Ave,Suite#675 <br /> CITY: STATE: CA QIP°94607 Justin Sobieraj Alan S.Kemp <br /> OAKLAND SAMPLER RE1K r i:'ASi15EONLY' <br /> TEL �.FA7C E41AIL• <br /> TE <br /> 510-466-711 s 510 A4S-7919 sObiera i saic.com <br /> TURNAROUND TIME; REQUESTED ANAl.YS[S <br /> [3Q. <br /> SAME DAY C7 24 HR 48 HR ❑72 HRZSDA:Yj�F)DAYS <br /> SPECW.REOLRREMENCS(ADDIT.ONALCO-rS MAY APPLY) <br /> ❑RWQCB REPORTING Irl ARCHIVE SAMPLES UNTIL _I—/WW._._ � <br /> SPECIAL INSTRUCTIONS`. <br /> Please analyte for 18 PAHS. <br /> 1 ^ m in <br /> m <br /> 1O n +pa <br /> M Cq ti <br /> SAMPLING N o m X <br /> LAB LOCATION! MATRIX OF Spp Q <br /> USE SAMPLED DESCRIPTION DATE TIME CONT. F d CD <br /> ONLY <br /> j <br /> 00 <br /> 40 <br /> Date: Time �� <br /> Race r{St tote) <br /> Relinquished <br /> Dah- Time: <br /> Received <br />_ ! Relinquished by:(Slgnahlre) <br /> Date: Time: <br /> Received by(Signature) <br /> Relinquished 1N(SigzWre) (Q <br /> 02/24/10 Revision CD <br /> N <br /> -- O <br /> W <br />