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Billing InWn <br /> CHAIN-OF-CUSTODY RECORD CA Page <br /> of, <br /> Alpha Analytical, Inc. workOrder : STR05030422 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 84431-5778 <br /> TEL (775)355-1044 FAX (775)355-0406 ' <br /> Client Gown Kowtha Report Due By : 5.00 PM On : 04-Mar-05 <br /> Stratus EnvironmentalGown <br /> (530)676-6002 <br /> 3330 Cameron Park DriveTEL <br /> 530 676-6005 <br /> Suite 550 ( ) EDD Required Yes PDF Required No <br /> EMail gkowtha@stratusinc net <br /> Cameron Park,CA 95682-8861 Sampled by Client <br /> Report Attention Gown Kowtha Job 2007-0065-011 USA 65 Cooler Temp N/A IC <br /> Chant's COC# 08127 <br /> CC Report PO 04-Mar-05 <br /> QC Level S3 = Final Rpt,MBLK, LCS,MS/MSO With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No of Bottles �=T-F=E= <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# Sample Remarks <br /> �TR05030422-01A EFF AR�J 03/03/05 1 0 1 arx�cns1 HrxFJaasr — <br /> I 09 15 soxys_c soxn-C `� Tedlar <br /> If <br /> I <br /> i <br /> Comments Secunty seals intact Ca sample Aush ASAP tat Coc was.pHt into two work_orders due to difference m tatire uested Send co ofrecei t checklist wuh fnal ne ori <br /> � F Signature print Name <br /> Company Date/'1`tme <br /> Received by — <br /> �� �✓ Atpha Analvlrcal,Inc 91 <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 /> Matnx Type AQ(Aqueous) AR(Air) SO(Sod) WS(Waste) DW(Dnnking Water) OT(Other) Bottle Type I Liter V-Voa S-SoilJar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />