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I T _ <br /> Billing Inform ation: CHAIN-OT-CUSTODY RECORD CA 2of?age: <br /> Alpha Analytical, Inc. WorkOrder : STR03041121 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> R <br /> TEL:(775)355-1044 FAX:(775)355-0406. Report Due By : 5:00 PM O[1 : 21-Apr-03 <br /> Client' ...... <br /> Stratus Environmental Gowri Kowtha ` <br /> 3330 Cameron Park Drive TEL: (530)676-6002 EDD Required : Yes <br /> Suite 550 FAX: (530)676-6005 <br /> `----- - - -- - --------'----" <br /> Cameron Park,CA 95682-8861 Job: 2007-00651 USA 65 Sampled by: Mike CornWeh <br /> Report Attention: Gowri Kowtha PO : Client's COC#: none Cooler Temp: 4 °C I I-Apr-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 TPHIP_w voc w <br /> Sample 10 Sample ID Matrix Date ORG SUB TAT PWS# Sample Remarks <br /> STR03041-121-11 A S-2 AQ 04!10103 5 0 6 BTxFacns� Brxrcnsr' <br /> 05:30 5n=y. Boxy. <br /> Comments: Securty seals intact ice frozen.California samples.Global ld#T0607700068.Send co of receipt checklist with final report. <br /> Signature Print Name Company Date/Time <br /> .. ..:.... <br /> J _ _ ___+..._ � --r� _1 _�' _,.Alpha Analytical,Inc. "! <br /> Received by' <br /> _ <br /> NOTE: Samples are discarded 60 days after results are reported unless other arrangements are made. Hazardous samples will be retumed 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(Drinking Water) OT(Other) Bottle Type: L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />