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Billing I!nforrilo <br /> CHAIN-OF-CUSTODY RECORD CA !, ,v f of2age r <br /> Alpha Analytical, Inc. WorkOrder : STR03091741 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5773 <br /> Client TEL (775)355-1044 FAX (775)355-0406 Report Due By . 5.00 PM Oil . 25-Sep-03 <br /> Stratus Environmental Gown Kowtha <br /> 3330 Cameron Park Drive TEL (530)676-6002 <br /> Suite 550 FAX (530)676-6005 EDD Requti ed Yes <br /> Cameron Park CA 95682-8861 Job Joes Truck Stop Sampled by Mike <br /> Report Attention Gown Kowtha PO Client's COC# none Cooler Temp 4 °C 17-Sep-03 <br /> CC Report <br /> QC Level S3 = Final Rpt MBLK,LCS MS/MSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No of Bottles ALCOHOL- TPH1E_W TPHIP-W voc-w 4 <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# w Sample Remarks <br /> STR03091741-01A, MW-1_ -AQ 09115/03 8 0 6 MeoHMOH TME-C BTXEIGAS_ BTXFIGAS <br /> 08 53 CIEDBA 2D VEDB/l 20 <br /> CA15oays CAI50cys <br /> STR03091741-02A MW-2 AQ 09/15/03 8 0 6 McOHMOH TPHIE_C BTXP/GAS_'BTXFIGAS <br /> 0836 CIEDBII 2D CIEDB1l 215 <br /> CAISoxys CA15oxys <br /> STR03091741-03A MW-3 AQ 09/15/03 k 8 0 6 WOHMOH TPHIE-C BYXPJGAs BTXDCAS_ - <br /> 08 07 CIEDBII 2D C1E08I1 2D <br /> _ __ CAhorys CA15oxys <br /> STR03091741-04AI MW-4 ^AQ 09115 $ 0 6 McOHIF04 TPHIE-C BTXEIGAS_ BTXEIGAS r <br /> ' <br /> 0750 C/EDR/I 2D MDR/!2D <br /> CA15cxys CA/Soxys <br /> STR03091741-05A' MW-5 AQ 09/15/03 8 0 6 McOHIEtOH TPHIE C BTXFJGAS_ BTXEIGAS_ -----— - T <br /> 0736 I VEDBA 20 C/EDB/l 2D <br /> __ _ CAISoxys CAISoxys <br /> STR03091741-06A MW-6 AQ 09/15103 1 8 0 6 McOH/EtOH TPrI/E_C BTxE/GAS 13TXEJGAS_ <br /> ' <br /> 0722 I CIEDBII 2D�ClEDB/1 2D <br /> __ _ CAhoxys CA75axys <br /> STR03091741-07A M WO-1 X AQ 09/15/03 8 0 6 McOHIEtOH TPHIE_C BTaEIGAS_ BTXEIGAS <br /> 0820 CIEDBII 2D C/EDB/I 2D <br /> CA15o%ys CA15oxys <br /> STR03091741-08A, MWO-1 AQ 09115/03 1 8 0 6 McOMMOH TPHIE_C BTXEIGAS BTXFIGAS_ <br /> l 09 46 C/EDBl1 2D OEM[2D <br /> CA/Soxys CA15oxys <br /> STRO30917I41-09AMWO-2 AQ 09115/03 8 0 6 MCOH D01-1 TPHIE_C BTXEIGAS BTXEIGAS- <br /> 0931 <br /> TXEIGAS0931 CIED1311 20 CIEDBn 2D <br /> CAI"xys CAI>oeys <br /> Comments, Custody seal Frozen ice CA samples EDF ALWAYS send copy of receipt checklist with final report Amended 9/17 2 50 ni-via fax from client Steve Carter,add 5 ox s to all samilles DSB <br /> Sigulture Print Name Company D ite/7line <br /> jReceived by AIpU i An t}IIc2E,In(- <br /> NOTE <br /> ncNOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples will be returned to client or disposed of at client expense <br /> The report for the analysis of the above samples is applicable only to those samples received by the laboratory with this COC The liability of the laboratory is limited to the amount paid for the report <br /> Matrix Type AQ(Aqueous) AR(Air) SO(Soit) WS(Waste) DW(Drinking Water) OT(Other) Bottle Type L-Liter V-Voa S-Soil Jar 0-Orbe T-Tedlar B-Brass P Plastic OT Other <br />