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SPARGER TECHNOLOGY, INC. CHAIN OF CUSTODY RECORD <br /> (3l ���� C.O.C. No. 26749 <br /> Analytical Laboratory Phone:(916)362-8947 <br /> 3050 Fite Circle,#112 Sacramento,CA 95827 FAX: 916 362-0947 Page of STAL Invoice Number: <br /> Company: I T Ey-F—Crv�' Phone: 1 J 1 (O) '3 ANALYSIS REQUEST <br /> Project Manager: U -\J5 `2� FAX: (' �16) 2--29'--3341 REMARKS: _ f Sampler's Name: <br /> Report Address: Billing Name&Address: <br /> / -f-33 !'v ,NI«I,-c f , 5"" k % ��r 5, c r e 5 143 <br /> 5 <br /> 9 5 b,3 All None Some OK OK WET STLC <br /> Project Name: Project/Job#: -4"Ilpf <br /> ?LV,s �4� S'h G 1 0( Cooler Temp. <br /> Project Location: P.OSample Condition TCLP <br /> c hi <br /> Preservative TCLP Total <br /> Sampling Container Used Matrix TAT <br /> 'yGy]�1 m 00 O O 30 f <br /> co j_ \ <br /> L N (L <br /> N 0 N <br /> (L O OLO O z <br /> O O LOO d U Q <br /> to <br /> LO O E N a) U N N Q) n C <br /> a� cD o a a ,` 0 ro v C <br /> 4. w oN N 2 2 N n a� <br /> 0 (a CL 0 0 0 0 0 0 0 Cz Y <br /> a) O Z; ti U m O) <br /> J N W co V h O,tS o U 4C)t <br /> CCU o0mm cw a0- ao <br /> -1 CL 75 <br /> rm �vr <br /> N NN) O O O O N )A <br /> cc CLC/)_ o cccD cCL <br /> co cc <br /> oE iEm t HH Q Q a \N o o i0 o vvNO. SAMPLE ID Date Time m O z z o m m w w w w w w z a> <br /> ` <br /> fa <br /> _ <br /> z <br /> 3 a 114c x <br /> 4 - i 11 <br /> 5 -1 11�O <br /> 6 - — t).1 S <br /> 7 0.3 I <br /> 8 r0 � It i <br /> 9 1 <br /> 10 ►ifs' ?C <br /> R ' d by: Received Relinquished by: Received by: <br /> 24f,iii6� <br /> tY <br /> Date: 0 o Time: V Date: Z— a Time: 7 ' Date: Time: Date: Time: <br /> P1 c^^c- RIF"^ '1EVF`3--: SIP-: '^R TF" Al" "NDIT'^"'S <br />