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SPARGE CHNOLOGY, INC. CHAIN OF CUSTODY RECORD . <br /> Anal tical Mora Phone (916)362-8947 = <br /> Y Y <br /> 3050 Fite Circle #112 Sacramento CA 95827 FAX (918)362-0947 <br /> Company APEX ENVIROTECH, INC . Pho"e (91.6) 535-0200 <br /> Project Manager JEFFREY ROTHGERY FAX (916) 535-0207 STAL Invoice Number <br /> TN-port Address Billing Flame&Address <br /> 7844 rladison Avenue , Ste 106 <br /> Fair Oaks , CA 95628 ANALYSIS REQUEST <br /> Project Name Project/Job # REMARKS ,�^�t 1 D orF ca+�� WET(STLC) <br /> !+'l o�-� I�'tura l e v er C) Z c O C'9 .1*�, <br /> I-I <br /> Project Location } 4O� 643 �` /�f� � P O k ! TCLP <br /> 177a K P`�c�e CA--- "40 Z,o© <br /> Preservative TCLP Total <br /> Sampling Container Used Matrix TAT <br /> X <br /> o co <br /> 00 0 `- <br /> in c t <br /> u <br /> C ` N sf, C '0 N <br /> tl <br /> D O Ifl W Z ~ <br /> W W tl N W <br /> C4 O W o N o m N N R fV U t <br /> 1,4 N olD N N V 1Aw ^I N <br /> tti D 0 O 111 Q' 0. Ill M vtli V U t` C <br /> +--I NO n m O_ O O 0 � 02 -21 <br /> v m a cn Y <br /> N rA co t- <br /> a > n t D m m w w .� D <br /> Z -- t m 0 O O N N p o o !� n tl1w CD to 10 CL c <br /> o to n <br /> sz <br /> E m 0 = C s — w a W exit X a s a a a a r C w - Q M <br /> SAMPLE ID Date Time �, v ° o ►- r a a a n a s 0 0 <br /> O s z o en Q o m m w lU w w w w F- Z o w U U .I Y <br /> X K x <br /> Mui 3 3 K '� <br /> n?uJ_ 3 x rc >4 < <br /> AW-7 <br /> MW-IF <br /> �- z x <br /> LIMA-/ x <br /> }�elinc�ttr5lt�{� y <br /> Recelved,13ry Relinquished by Received by <br /> Time �f�35r Date =1T Date Time Date Time <br /> I <br />