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Btlling Infome. S Y <br /> �� Page <br /> CHAIN-OF-CUSTODY RECORD CA �, ;�,� , ; , <br /> 2 ore <br /> Alpha Analytical, Inc. WorkOrder : STR03091741 <br /> 255 Glendale Avenue,Sutte 21 Sparks,Nevada 89431-5778 <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 Replied 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 <br /> CC Report 17-Sep-03 <br /> QC Level S3 = Final Rpt,MBLK LCS, MSIMSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No of Bottles ALCOHOL_ TPH1E_W TPH/P_W voc_w <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# w <br /> Sample Remarks <br /> STR03091741-10A! MWO-3 AQ 09115!03 8 0 6 McOH/EIOH TPH/E-C erxE/cAs BTXE/GAs_ - - <br /> i 10 01 CIEDB11 2D CIEDBA 2D <br /> CA/Soxys CA/5oxys <br /> Comments i` Custod seal Frozen ice CA sam les EDF ALWAYS send Copy of receipt checklist with final re ort Amended 9117,2 Sopm-via fax Irom client Steve Cai ter add 5 ox s to all samples D5B <br /> Signature Print Name Company Datel3 Hue <br /> Received by ` . _ •� Ll'`��' 1 r r ,} > 1' <br /> _ Alph r Au3lytical,Inc <br /> tJ NOSE 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 ciient 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(Soil) WS(Waste) DW(Dnnking Water) OT(Other) Bottle Type L-Liter V-Voa S-Soli Jar 0-Orbo T-Tedlar B-Brass P Plastic OT-Other <br />