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Billing Information CHAIN-OF-CUSTODY RECORD Page <br /> 1 of 1 <br /> Alpha Analytical, Inc. WorkOrder : STR00062662 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> TEL (775)355-1044 FAX (775)355-0406 <br /> Client Report Due By : 5:00 PM On - 03-Jul-00 <br /> Stratus Environmental Company Phone/Fax Secondary Phone/Fax <br /> 3330 Cameron Park Drive TEL (530)676-6001 TEL (530)676-6001 EDD Required No <br /> Suite 550 FAX (530)676-6005 FAX (530)676-6005 <br /> Cameron Park,CA 95682-8861 Job Dolly Madison Facility Sampled by Client <br /> Report Attention Jay Johnson PO Client's COC# none Cooler Temp 40C 26-Jun-00 <br /> QC Level S4 = Final Rpt,MBLK, LCS,MS/MSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No of Bottles TPNIP w voc_w <br /> Sample 11) Sample ID Matrix Date ORG SUB TAT PWS# Sample Remarks <br /> STR00062662-01A MW-1 AQ 06/22/00 3 0 5 Gas CAL I BTExroxY <br /> 1040 'e <br /> STR00062662-02A MW-2 AQ 06/22/01) 3 FO 5 Gas-CAL �BTewoxY <br /> 1024 <br /> Comments Packed in blue and wet ice No secunty seals <br /> Signature Print Name Company Date/Time <br /> Relinquished by <br /> Received by ` <br /> Relinquished by <br /> Received by <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 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(Dnnkmg Water} OT(Other} i w BottleType L-Liter V-Voa 5-SoilJar O-Orbo T-Tedlar B Brass P-Plasticther <br /> 0 <br />