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CHAIN OF CUSTODY <br /> and Analysis Request Form <br /> Company: Laboratory: <br /> IT Corporation Sparger Technology, Inc. <br /> 1433 N.Market Boulevard,Suite 1 3050 Fite Circle,Suite 112,Sacramento,CA 95827 /� <br /> Sacramento,CA 95834 Phone:(916)362-8947 �i <br /> Phone:(916)928-3300 Fax:(916)928-3341 Fax:(916)362-0947 <br /> ;Z ' 4! <br /> Send Results To: Project:` ' s t <br /> Don Bransford 120 Aerially Deposited Lead and Groundwater Study <br /> IT Corporation Location: HWY 120&Austin Rd.,San Joaquin County(PM 6.7/7.0) <br /> 1433 N.Market Boulevard,Suite 1 Project#: 821264 <br /> Sacramento,CA 95834 Contract:43A0012 EA#:10-0A750K-5U <br /> Analysis <br /> 6010: Special <br /> z Lead Notes(see <br /> Sample ID: Comments Pate I Time Container Total n Matrix Only TAT below <br /> 120 1 C•( 2 0ei plastic bag 1 ice vr) X 48-hr <br /> 120 I C.3 1 1 1 1 plastic bag 1 ice X 48-hr <br /> 120 1 C. plastic bag 1 ice X 48-hr <br /> 120 2 C•I �C plastic bag 1 ice X 48-hr <br /> 120 2 plastic bag 1 ice X 48-hr <br /> 120 1 b. plastic bag 1 ice X 48-hr <br /> 120 3 li�y plastic bag 1 ice X 48-hr <br /> 12o 3 C j plastic bag 1 ice X 48-hr <br /> 120 3 0.y plastic bag 1 ice X 48-hr <br /> 12o 4 plastic bag 1 ice X 48-hr <br /> 120 'F p. plastic bag 1 ice X 48-hr <br /> 120 4 �,V plastic bag 1 ice X 48-hr <br /> 120 r C•/ J J GrA plastic bag 1 ice X 48-hr <br /> 120 d 3 plastic bag 1 ice X 48-hr <br /> 120 C•Ir plastic bag 1 ice X 48-hr i • <br /> 120 L D.( I 1 plastic bag 1 ice X 48-hr <br /> 120 D.3 plastic bag 1 ice X 48-hr <br /> 120 b D•r plastic bag 1 ice X 48-hr <br /> 120 7 0.1 I I plastic bag 1 ice X 48-hr <br /> 120 7 D.3 plastic bag 1 ice X 48-hr <br /> ta <br /> 120 7 0.( plastic bag 1 ice X 48-hr <br /> 120 .) plastic bag 1 ice X 48-hr <br /> 120 $ 0.7 plastic bag 1ice X 48-hr <br /> 120 g D-b plastic bag 1 ice X 48-hr <br /> 120 9 C •( l l 5 plastic bag 1 ice X 48-hr <br /> 120 1 Q 3 plastic bag 1 ice X 48-hr <br /> 120 p.L plastic bag 1 ice X 48-hr <br /> 120 1 c C 1 /301 plastic bag 1 ice X 48-hr <br /> 120 16 •3 plastic bag 1 ice X48-hr <br /> 120 iV plastic bag 1 ice X 48-hr <br /> Notes: <br /> Relinquished By: � Received By: <br /> Print Name: Print Name: i�1 <br /> Date: AJ t" L- e-Z�?A�l Date: <br /> Time: Vit/C^ �o/ Time: <br /> Relinquished By: e O C' Received By: <br /> Print Name: Print Name: <br /> Date: Date: <br /> Time: Time: <br /> Page I of <br />