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f <br /> alscience 7440 LINCOLN WAY <br /> CHAIN OF CUSTODY RECORD <br /> nvironmental GARDEN GROVE,CA 92841-1427 DATE: t v � Lr <br /> 6.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/26011S154A-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 APPLY) <br /> ❑ RWQCB REPORTING ❑ARCHIVE SAMPLES UNTIL 1 1 <br /> SPECIAL INSTRUCTIONS <br /> Please analyze for 18 PAHs. P1! wL � � cJ 11'1�j 1ti�,, . <br /> m rn <br /> N ti W <br /> � v v <br /> CNI <br /> LAS SAMPLING NO. v w X <br /> LOCATION/ <br /> ONLY <br /> SAMPLE ID MATRIX of = IL <br /> ONLY DESCRIPTION DATE TIME CONT. H 1L m <br /> - t ftj2& r1 ►Zzz <br /> 1-33 X <br /> � - - 1-700 <br /> Relinquished by:(Signature) Received by:(Signature) Date: Time: <br /> � yC (a-(20C (d (Coo <br /> Relinquished by:(Signature) Received by:(Signature) Date: Time: <br /> 1p 2 i I <br /> Relinquished by:(Signature) Received by:(Signature) Date: Time: <br /> O <br /> 02/24/10 RevisiaaL <br /> W <br /> Return to Contents <br />