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0No , • <br /> Billing lnfarn, n 1* _ <br /> CHAIN-OF-CUSTODY RECORD Page , <br /> CA 2of2 <br /> Alpha Analytical, Inc. WorkOrder : STR03091741 <br /> 255 Glendale Avenue,Suite 2 t Sparks,Nevada 89431-5778 <br /> Client TEL (775)355-1044 FAX (775)355-0406 Repo><t Due By . 5 00 PM On 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 Required Yes <br /> Cameron Park CA 95682-8861 Job Joes Truck Stop Sampled by Mike <br /> Report Attention Gown Kowtha PO Clients COC# none <br /> CC Report Cooler Temp 4°C 17-Sep-43 <br /> QC Level S3 = Final Rpt,MBLK,LCS,MSIMSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No of Bottles ALCOHOL_ TPH1E_W TPHIP_W VOC_w <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# w <br /> _ Sample Remarks <br /> 5TR03091741-10A WM Q-3 AQ 09115/03 8 0 6 McOHMotl TPHrE_C BTxE/GAs_ BTXEicAs_ -1001 CIEDB11 2D CIEDBIi 2D <br /> CA CA <br /> i <br /> Comments Custody seal Fiozen ice CA saimfles EDF ALWAYS send copy o£receipt checklist with final re ort <br /> Signature Pant Name <br /> Comp m} bate/"!uue <br /> i <br /> Received by <br /> Alph.i Ali it}tical,I nc <br /> NOTE 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 liabtitty 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-Soil Jar 0-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />