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Billing Information: CHAIN-OF-CUSTODY RECORD CA Page: f of I <br /> Alpha Analytical, Inc. WorkOrder : STR05080361 <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 : 11-Aug-05 <br /> Client: Gowri Kowtha . <br /> Stratus Environmental TEL: (530)676-6001 <br /> 3330 Cameron Park Drive FAX. (530)676-6005 EDD Required: Yes <br /> Suite 550 EMail gkowtha@stratusinc.net <br /> Cameron Park,CA 95682-8661 Sampled by:D.Foland <br /> Report Attention: Gowd Kowtha Job: 2007-0065-01NSA 65 Cooler Temp: 4°C Date Printed: <br /> CC Report: PO: Clients COC#: 09965 03-Aug-05 <br /> QC Level: S3 = Final Rpt,MBLK,LCS,MSlMSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No.of Bottles TPwP_A VOC_11 <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# Sample Remarks <br /> STRO5080361-01 USA 65A Inf AR 1 08/02/05 1 0 6 GAS-NIC BTE?UOxY <br /> 09:50 <br /> STR05080361-0 USA 65A Sys AR 08102!05 1 0 6 GAS-NIC Beewaxy <br /> Inf 09:40 <br /> Comments: Securily seats intact,frozen ice Chain split due to 24hr TAT on 1 sample see original COC/05080360. Send copy of receipt checklist with final report <br /> gnatur Print Name Company Date/Time <br /> Received by: d -S ( Alpha Analytical,Inc. 9-3-0 ] <br /> J L f <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 />