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i3 <br /> CHAIN OF CUSTODY <br /> and Analysis Request Form <br /> Company: Laboratory: <br /> IT Corporation Sparger Technology, Inc. 48 Nka^ui <br /> 3 N.Market Boulevard,Suite 1 3050 Fite Circle,Suite 112,Sacramento,CA 95827 <br /> P,• ,CA 95834 Phone:(916)362-8947 % <br /> Phone:e:(916(916)928-3300 Fax:(916)928-3341 Fax:(916)362-0947 �E <br /> E <br /> Send Results To: Project: <br /> Don Bransford 120 Aerially Deposited Lead and Groundwater Study <br /> IT Corporation Location: HWY 120&Austin Rd.,San Joaquin County(PM 6.717.0) <br /> 1433 N.Market Boulevard,Suite 1 Project#: 821264 <br /> Sacramento,CA 95834 Contract:43AO012 EA#:10-0A750K-5U <br /> Ana sis <br /> 6010: Special <br /> z Lead <br /> Notes(see <br /> Sample ID: Comments Date Time Container Total a Matrix Only TAT below <br /> 120 i 1 G•i J-I 71C i 113) plastic bag 1 ice C X 48-hr <br /> 120 11 1 plastic bag 1 ice X 48-hr <br /> 120 1 f C-( V plastic bag 1 ice X 48-hr <br /> 120 12 C'( plastic bag 1 ice X 48-hr <br /> 120 )�" C.E plastic bag 1 ice X 48-hr <br /> 120 (2 C,(, plastic bag 1 ice X 48-hr <br /> 120 1 341 plastic bag 1 ice X 48-hr <br /> 120 I ti 1•3 plastic bag 1 ice X 48-hr <br /> 120 (: 0•b plastic bag 1 ice X 48-h <br /> 120 111 0.1 i 5 plastic bag 1 ice X 48- <br /> 120 /4 O 3 plastic bag 1 ice X 48 <br /> Ir <br /> 120 14 .b plastic bag 1 ice X 48- <br /> 120 IS 0.1 1 plastic bag 1 ice X 48- <br /> 120 r S 0 plastic bag 1 ice X 48 <br /> 120 (5 0-(' plastic bag 1 ice X 48-hr <br /> 120 A LL)IV VAd a>5 plastic bag 1 ice X 48-hr <br /> 120 C•3 '!;A- 1�L.E plastic bag 1 ice X 48-hr <br /> 120 IV CA, plastic bag 1 ice X 48-hr <br /> 120 1 0.I1-1 <br /> L. ; &- plastic bag 1 ice X 48-hr <br /> 120 1 0-3 S PLIC plastic bag 1 ice X 48-hr <br /> 120 17 0.6 A& plastic bag 1 ice X 48-hr <br /> 120 1q e-1 ti plastic bag 1 ice X 48-hr <br /> 120 / 0,-5 plastic bag 1 ice X 48-hr <br /> 120 1 9 plastic bag 1 ice X 48-hr <br /> 120 1`i 0.1 /S/C plastic bag 1 ice X 48-hr <br /> 120 15 0.3 plastic bag 1 ice X 48-hr <br /> 120 1' D.I. Iplastic bag 1 ice X 48-hr <br /> 120 l0to, <br /> tf iA/ Cl/L,Ii JSJ plastic bag 1 ice X 48-hr <br /> 120 1c SA•.—f"L-C plastic bag 1 ice X 48-hr <br /> 120 3:}D plastic bag 1 ice X 48-hr <br /> Notes: <br /> Relinquished Received By: YL <br /> Print Name: Print Name: ,;J1� �� <br /> Date: r('f I< 1` Date: <br /> Time: g Time: <br /> If -7 <br /> Relinquished By: Received By: <br /> Print Name: Print Name: <br /> Date: Date: <br /> Time: Time: <br /> Page of <br />