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483 Sinclair Frontage Road <br /> Milpitas,CA 95035 CHAIN O F CUSTODY LAB WORK ORDER NO <br /> -�Torrent FAX:408.263.8293 $ - Q <br /> :•COTE:°SHADta AkEAS.ARE1FOR tOkAENT LA&USE ONLY O V Q Q <br /> LABORATORY, INC. vvWW.torr9ntlab.com —�t <br /> Company tame:L• Location of Sampling: <br /> Address: Purpose. <br /> City: State: zip Code: Special Instructions 1 Comments: <br /> Telephone: FAX: <br /> REPORT TO: SAMPLER: P.O.#: EMAIL: <br /> TURNAROUND TIME: SAMPLE TYPE:. REPORT FORMAT: — t <br /> (UU~]7 cs <br /> 010 Work bays Q"3 Work pays Noon-Nxt Day .1�--11 Slorm Water �}Air:r. QC Level IV ANALYSIS <br /> Q 7 Work Days 2 Work Days 2 8 I..�Waste Water Other. EDF �-� REQUESTED <br /> r--I Hours -Ground Water Excel I EDD <br /> i..�5 Work Days 1 Work Day L3 other LJ soil S S <br /> DATE 1 TIME #OF CONT <br /> LAB ID CLIENTS SAMPLE..I.D. SAMPLED MATRIX- CONT' TYPE REMARKS.=.. <br /> Iq <br /> 531 o ti °8 S' �- p <br /> 01 2019 ;G. .4 g <br /> ._ 021f9r 42 � � - � � s• .� <br /> 5�14y` d2-3A, 024-8 , <br /> ,., z <br /> .a t x ` �. w <br /> 56� 027A, 022A ' - / n s 4:;N a O <br /> 02 9 A 30 <br /> 57I A :031A 032 A <br /> 58 A:C*Vmf 033A, <br /> 03509, 0364 <br /> 4~ fi, <br /> o4-oA <br /> 004204•6 20,56090 2 <br /> 1 Relinquished By: Print: Date: Time: Received By: Print: Date: Time: <br /> Z Relinquished By: Print: Date, Time: Received By:- x Print: Date: Time: <br /> Were Samples Received in Good Condition? Yes NO Samples on Ice? Q Yes Lj NO_Method of Shipment Sample seals Intact?Q Yesj Yes . NO U NIA <br /> DOTE:Sampr les are discarded by the taho�r�atory 3D days from date of receipt unless other arrang:, )ments are made _ Page of <br /> Log In By: �/ Date:, �Log In Reviewed By:. Date: <br />