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� <br /> SPARGER TECHNOLOGY, INC. _ low CHAIN OF CUSTODY RECORD /�Srl 0� <br /> � <br /> Analytical Laboratory Phone:(916)362-8947 C.O.C.c.o.c. No. 2 751 <br /> 3050 Fite Circle,#112 Sacramento,CA 95827 <br /> FAX: 916 362-0947 Pae of STAL Invoice Number: <br /> ANALYSIS REQUEST <br /> Company: �•����-(T/`• Phone: <br /> /yiL• �a8- 33G'v <br /> ' <br /> / a Sampler's Name: <br /> Project Manager: 32 S('i0�D FAX: ( �14, -33 t� REMARKS: <br /> Report Address: Billing Name&Address: ►" t " Le\,O) � { <br /> -/- <br /> J <br /> ��S 3 All None Some <br /> CA OK OK OK WET STLC <br /> Project Name: ProJectlJob#: <br /> �r�► 5 �h S z• a� I w2 p� an/ Cooler Temp. °C <br /> TCLP <br /> Sample Condition <br /> PO*Project Loc 10 PO* <br /> H <br /> �/'�.,, /��v� /ted <br /> TCLP Total <br /> Preservative TAT <br /> Sampling Container Used Matrix <br /> O VCS <br /> m coO L <br /> �_ M <br /> O NO O D+ Z J L. <br /> O � <br /> co y o na m <br /> to o L <br /> 0 0 ,n co LO d U O. <br /> M o a m a o N <br /> Ln o o N ai U "t in C U C <br /> O^ CO E d d N CQ <br /> WOO CD <br /> U a o N aoo C7 O �J m <br /> ro ro <br /> Q > ro a 2 co eco 00 ro 0No m ,6 `m <br /> O )> FnO N O O O O N N Q d C r <br /> E 0 E E _ _ x cp co ca co ca co Ccc <br /> m � m <br /> �, ro � a� w w = a a a a a a <br /> ro o r U o L m o f- L a a a a n a o o U Q Q a, <br /> NO. SAMPLE ID Date Time o CO "' o = z cn - O m m w w w w w w z o v v °C = <br /> 1 Ido IiPI- C cs K <br /> 2 X <br /> 3 45 rao -kPa- 'C <br /> � <br /> 6 - � �s � x <br /> X <br /> 8 - D 5 IS x X <br /> 9 E IS is <br /> 10 /5- 30 }� <br /> e inq ed b v Re eived Relinquished by: Received by: <br /> Date`-2 ©g Q Time: C) --.-.-7 �/ Time: D Date: Time: Date: Time: <br /> PLEASE READ REVERSE SIDE FOR TERMS AND CONDITIONS <br />