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Billing Infon: UHC <br /> t CHAIN-O&CUSTOY RECORD Pager <br /> - - - Al h ---- - --- - - A <br /> p a Analyt>ecal, Inc. WorkOrder : STR06010643 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> TEL:(775)355-1044 FAX:(775)355-1406 Repoli Due By : 5:00 PM On 06-Jan-06 <br /> Client: Gowri Kowtha <br /> Stratus Environmental TEL: (530)676 6401 x <br /> 3330 Cameron Park Drive ; FAX: (530)676-6005 EDD Required : Yes <br /> Suite 550 EMail : gkowtha@stratusinc.net <br /> Cameron Park,CA 95682-8861 - --...._—.---_—____� Sampled by :C. Hill <br /> Report Attention : Gowri Kowtha Job: USA 65 Cooler Temp : NA°C Date Printed: <br /> CC Report: PO: Client's COC#: 06780 06-Jan-06 <br /> QC Level : S3 = Final Rpt,MBLK, LCS,MS/MSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No.of Bottles TP"aAvO <br /> c_A �- <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# <br /> Sample Remarks <br /> I STR06014643-01�A 0065 A EFF r AR 01/05/06 1 0_ ' 1 __ GAS-NIC DoXvTE I t TEDLAR <br /> r <br /> - 06:00 I. � <br /> Comments: SecurilY seals intact.ASAP TAT.Chain split into two separate work orders due to different TATs.Send copy of receipt checklist with final report.. <br /> -Signet - —_- -- - --�_ —Print Name - I Compam' Datc/Timc <br /> Logged in by: � _--- 1 L�_ T rr{�C1r� Alpha Analytical,Inc. I <br /> ��ry„ l` <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 /> tr Matrix Type: AQ(Aqueous) AR(Air) SO(Soil) WS(Waste) OW(Drinking Water) OT(Other) Bottle Type: L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br /> I <br />