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Billing Inform <br /> CHAIN-OF-CUSTODY RECORD Page: <br /> - - -- ------ I Of I <br /> Alpha Analytical, Inc. `7�T <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 84431-5778 rr DrkOrder : STRO1050724 olli <br /> Client: - TEL:(775)355-1044 FAX:(775)355-0406 <br /> ------- <br /> Stratus Environmental Company_.._-one// - - Report Due $y : 5:00 PM On : 14-May-01 <br /> Company Phone/Fax Secondary PhonelFax <br /> 3330 Cameron Park Drive TEL: (530)676-6001 ,TEL: (530)676-6002 <br /> Suite 550 FAX: 530 EDD Required :No <br /> FAX. (530 <br /> ( )676-6405 )676-6005 <br /> Cameron Park,CA 95682-8861 -� -"---W�--� -- - --_ -- --- ' <br /> Job: 2007-65-1 USA Gasoline Corp. Sampled by:Scott Bittinger <br /> Report Attention: Gowri Kowtha p0 <br /> CC Report: Client's COC#: none Cooler Tem <br /> p' 4°c 07-May-Ol <br /> QC Level: S3 = Final Rpt,MBt_K,LCS,MS/MSD With Surrogates <br /> Alpha Client2008_ ____ __ Requested Tests - <br /> Collection No,of Bottles _ TPHIP 5 <br /> Sample Ib Sample ID Matrix Date ORG SUB TAT PWS# - <br /> - -- 5 200.areo2oA;aTxslGnsr <br /> SiR01050724-01A� Waste - `"- - — - e Remarks <br /> SO 05!02!01 3 1 -�- "---�-_—�----- - -� Samp! Rem ks <br /> Composite 15:00 I Max nnec ]norganic=Total Lead. <br /> P <br /> Composite 3 tubes prior to <br /> - - <br /> analysis. <br /> I <br /> Comments: Securil seals intact ice Frozen.California sam les.Com osite 3 tubes then anal ze tubes were corn osited in lab and Wit for inor anic anal sis. <br /> Signature <br /> _ <br /> Print <br /> Received by: — — --__ _._. _. company Date/Time — <br /> Alpha Analytical,Inc. g <br /> OTE: 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 aid for th <br /> Matrix Type: AQ(Aqueous) AR(Air) SO(Soil} WS(Waste) DW(Drinking Water) OT(011ier P e report. <br /> Bottle Type: L-Liter V-Voa S-Sol!Jar O-Orbo T-Tedlar S-brass P-plastic OT-Other <br /> I <br />