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s • • <br /> SPARGER TECHNOLOGY, INC. CHAIN OF CUSTODY RECORD <br /> Analytical Laboratory Phone {9161 362 6947 <br /> 3050 Fite Circle #112 Sacramento, CA 95627 FAX 19161362-0947 <br /> Company ABX eW ACO 7,FZ'If Phone(q16) 535-ozGo � <br /> Project Menapar22 `r ,E FAX CR�� Jr�S�n�`l STAL Invoice Number <br /> Report Address Billing Name&Address <br /> 78ti 10Abf5ar%� AVe- srEz-io.6 <br /> ANALYSIS REQUEST <br /> Project Name Project/Joi # REMARKS WET ISTLCI <br /> 11 006c" C--440 2- r001:77 <br /> Project Lo�atj9�0 ._.-J Flx�ouT77 PO # TCLP <br /> ''SS <br /> Preservative TCLP Total <br /> Sampling Container Used Matrix TAT <br /> Z <br /> r <br /> � N <br /> O e7 <br /> Co O <br /> a _ <br /> If1 to N N <br /> O O _ _� Z <br /> 0 <br /> M O o N u m N = 'c <br /> N N d V q <br /> N <br /> N o u d O N CC <br /> O o O d N N m t V n <br /> e N E <br /> a u sf uy' o aao Hw0 o r o X 0 <br /> eu <br /> mmj O0 N M Co v in <br /> J + <br /> o C b O p p X X rO f0 IO 10 m m Q <br /> E hc <br /> 0.c a :� :i 4 rC <br /> ur W Q Q Q <br /> SAMPLE ID Date Time ozom ` omaWwwwo" ° m avn rtt <br /> xz m i- w ui za -J .. <br /> lielins;,isheReceived byRelinquished by Received by <br /> t i jtc 1 & Time Date 5116 ITime Date Time Date rria <br />