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Billing Infont Ct +' *0' i Page <br /> CHAIN-OF-CUSTY RECORD F"'of <br /> _ _ C� i of 1 <br /> Alpha Analytical, Inc, WorkOrder : STR04110527 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431 5778 <br /> TEL (775)355-1044 FAX (775)355-0406 ' Report Due By • 5:00 PM On : 05-Nov-04 <br /> Client -F-- - - - <br /> Stratus Environmental Gown Kowtha <br /> 3330 Cameron Park Drive TEL (530)676-6002 EDD Required Yes <br /> Suite 550 FAX (530)676-6005 <br /> Cameron Park CA 95682-8861 Job USA 65 Sampled by C Hill <br /> Report Attention Gown Kowtha PO Client's COC# 08381 Cooler Temp N/A'C 05-Nov-04 <br /> CC Report <br /> QC Level S3 = Final Rpt,MBLK LCS MS/MSD With Surrogates <br /> -T— Requested Tests <br /> Alpha Client Collection No of Bottles TPWP��voc_A 1 T - <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# -L _ IL l Sample Remarks <br /> {STi�04110527-01A EFF Air AR 11/04104 F 1 0 �1 f g Mix cs� B Mini cs <br /> I <br /> 0500 i <br /> I <br /> Comments Security seals intact Ca rush ASAP tat Coc was split into two work orders due to difference in tat required <br /> Signature -� Print Name Company Dati[Time <br /> Received by - b\ �� i-, Y� 7 Alpha Analytical,Inc <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(Dnnking Water) OT(Other) Bottle Type L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT Other <br />