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� �16� <br /> CHAIN OF CUSTODY <br /> and Analysis Request Form <br /> Company: Laboratory: / �� <br /> IT Corporation Sparger Technology, Inc. ®Q� <br /> 1433 N.Market Boulevard,Suite 1 3050 Fite Circle,Suite 112,Sacramento,CA 95827 <br /> Sacramento,CA 95834 Phone:(916)362-8947 <br /> Phone:(9 16)928-3300 Fax:(916)928-3341 Fax:(916)362-0947 <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 Notes(see <br /> Sample ID: Comments Date, Time Container Total a Matrix Only TAT below <br /> F3 ) r;- Ci 7 7 plastic bag 1 ice S a i I X 48-hr <br /> 1 -3plastic bag 1 ice X 48-hr <br /> 3 plastic bag 1 ice X 48-hr <br /> 3-2 /( plastic bag 1 ice X 48-hr <br /> 3 2 0-3 plastic bag 1 ice X 48-hr <br /> 120 3 Z plastic bag 1 ice X 48-hr <br /> 120 3-3 (?. U plastic bag 1 ice X 48-hr <br /> 120 plastic bag 1 ice X 48-hr <br /> 120 3 C,(r plastic bag 1 ice X 48-hr <br /> 120 plastic bag 1 ice X 48-hr <br /> 120 plastic bag 1 ice X 48 <br /> 120 plastic bag 1 ice X 48 <br /> 120 plastic bag 1 ice X 4 <br /> 120 plastic bag 1 ice X 487, <br /> 120 plastic bag 1 ice X 4 <br /> 120 plastic bag 1 ice X 48- r <br /> 120 plastic bag 1 Ice X 48-hr <br /> 120 plastic bag 1 ice X 48-hr <br /> 120 plastic bag 1 ice X 48-hr <br /> 120 plastic bag 1 ice X 48-hr <br /> 120 plastic bag 1 ice X 48-hr <br /> 120 plastic bag 1 ice X 48-hr <br /> 120 plastic bag 1 ice X 48-hr <br /> 120 plastic bag 1 ice X 48-hr <br /> 120 plastic bag 1 ice X 48-hr <br /> 120 plastic bag 1 ice X 48-hr <br /> 120 plastic bag 1 ice X 48-hr <br /> 120 plastic bag 1 Ice X 48-hr <br /> 120 plastic bag 1 ice X 48-hr <br /> 120 plastic bag 1 ice X 48-hr <br /> Notes: <br /> Relinquished B � Received By: �a -- <br /> Print Name: Print Name: ` � 2,L ,ry <br /> Date: Date: 1 <br /> Time: /fig I o! Time: 1-7 <br /> f S v I <br /> Relinquished By: Received By: <br /> Print Name: Print Name: <br /> Date: Date: <br /> Time: Time: <br /> Page of <br />