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! ! <br /> SPARGERTECHNOLOGY, INC. C1-31 45,6: CHAIN OF CUSTODY RECORD .l <br /> mnalytical Laboratory Phone:(916)362-8947 C.O.C. No. t'0) ;' .1 2 <br /> 3050 Fite Circle,#112 Sacramento,CA 95827 FAX: 916 362-0947 Page ? of STAL Invoice Number: <br /> Company:6,AC J Phone: Ddu 11 it ANALYSIS/REQUEST <br /> Project Manager'Q o-✓ FAX: 11 l 3341 REMARKS: Pi 454! u-'W11 -k 1-�� Sampler's Name: <br /> Re ort Address: Billing Name&Address: c �j ,�C,'Q <br /> � e P�I�d . Box d�Yl ' t_ n I r �s1 ` c 1 <br /> � � �, s��;�-Qyr�Q,/� (,�} c��J j II None Some <br /> Project Na e: ProjecttJob#: D6q3 ;-Q 1 o o l OK OK OK WET STLC <br /> u �,j V\ — � Cooler Temp. °C <br /> Project L9cation: Po.#: Sample Condition TCLP <br /> ham' h. n pH • <br /> Preservative TCLP Total <br /> Sampling Container Used Matrix TAT <br /> w � s <br /> m <br /> r <br /> c N N s <br /> Y o 2 0 06 z <br /> 0 <br /> m <br /> Qtz <br /> 0 i w o <br /> Q > no <br /> O 2 4; FLOO a cA V <br /> U � Da <br /> E U <br /> o0w = maaYNp st C) o oaa a ao o e mANd omNU2= o <br /> NO. SAMPLTime m wwww w w z O ¢ ¢ x y2ym <br /> Date eA- <br /> 2 <br /> 3 <br /> 4 13.i- tD <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Reli quis by ed by: Relinquished by: Received by: <br /> Z <br /> Dated ! Time: Date: Time: 7 O� Date: Time: Date: Time: <br /> P. ASE READ REVERSE SIDE FOR TERMS AND CONDITIONS <br />