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SFARGER TECHNOLOGY, INC. )e /-3 1 CHAIN OF CUSTODY RECORD <br /> Analytical Laboratory Phone:(916)362-8947 C.O.C. No. 2 i 1'i 11 <br /> �,3yy ' <br /> 3050 Fite Circle,#112Sacramento,CA 95827 FAX: 916 362-0947 Pae of _,1 STAL Invoice Number: _ <br /> Company: 15'vl�-� /I y Phone:�I�/�Zt i-3?W ANALYSIS REOUEST <br /> Project Manager:(- .�. i'- 1�L1 ti& ' F---: Z �j --32 REMARKS: �' IQG.� w^� {S-/(� (-�0-5 Sampler's Name: <br /> Repon Address: filing Name&Address: ,� N '�-S t�'sk o�c� +'iC�'` vQW W� 1'� 0�_ <br /> I }3 3 i'v,ivic��f P5 L�-Q PSD• D 5��' <br /> ( '� �� (A C4 <br /> All None Some <br /> Project Na e: n Project/Job#: )(jY'i� .0 11-oo/ OK OK OK WET STLC <br /> fix; n -�C«lu-i� C}� - 1�Iw a I Cooler Temp. °C <br /> Project Location: P.O.#: Sample Condition TCLP <br /> � <br /> or Eli\ H • <br /> Preservative TCLP Total <br /> Sampling Container Used Matrix TAT <br /> N r <br /> m O <br /> W <br /> C <br /> IV y <br /> O O O W z N <br /> O `1 <br /> O� Ito? <br /> N U m m N a. D_ N <br /> C6 c� n m m a ¢ U t ¢ <br /> (7wA o 0 0 0 o d m <br /> N O N y U_ pp N LO m V n Cry <br /> a ami m c3 ao x m m m m m <br /> c3y E E .. ? .. .. X a a m coo m m 0 0_ a c L <br /> L o t U o t '� 'o L Fw- Fw- a a a a, m a a `� o Q' U ¢ <br /> M. <br /> y 'c° o <br /> NO. SAMPLE ID Date Time o m N O x z o 3 m - S m w w w w w w ° z o ¢ O o .� m ¢ x <br /> -1 3 I <br /> 37 1,2!.53 'J I <br /> 4 - f3-5"4,,3 II- <br /> 5 , t <br /> 6 2--L' <br /> -L <br /> a <br /> 9 Iz.� ,� <br /> 10 <br /> R li quis y: _�MC a vMw Relinquished by: Received by: <br /> Date: d Tim i Date: /`�/fpi Time: 7. Date: Time: Date: Time: <br /> PLEASE READ REVERSE SIDE FOR TERMS AND CONDITIONS <br />