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SPARGE TECHNOLOGY, INC. CHAIN OF CUSTODY RECORD <br /> Analytical Laboratory Phone:(916)362-8947 C.O.C. No. 26748 <br /> 3050 Fite Circle,#112 Sacramento,CA 95827 FAX: 916 362-0947 Page of STAL Invoice Numb <br /> b I <br /> Company: I-r 6 20 L-P Phone: C `7 i f)124-33O o ANALYSIS REQUEST <br /> Project Manager: 'Pr-rJ Z3�. S Fo,2 D FAX: 9a8 -3:3 REMARK 48'm Sampler's Name: <br /> Report Address: Billing Name&Address: <br /> f 3-3 N'- M..4-rc W-e-T t <br /> S N rr� i <br /> 5Ae-QA* ,euro, cA 7r'5-93el - 4one Some <br /> Project Name: P1v S1-c d y Project/Job#: �a' 4-o! D , OK OK OK WET STLC <br /> Q <br /> Cooler Temp. C I/- <br /> Project <br /> /Project Location: c-•� ` Nw iso Po.#: Sample Condition ✓ TCLP <br /> C <br /> -I c c c y <br /> Preservative TCLP Total <br /> Sampling Container Used Matrix TAT <br /> mPD. co <br /> �D N <br /> 1� m o <br /> U)FN N � M <br /> Q O N 06 vV z <br /> V1 _ N O CO <br /> ° N N 0_ •3, <br /> y m a Q V O 4 L 7 <br /> C) a 3 0 0 0�;7 0 0 of y Q Z <br /> O m m d Q � aap = o m co CO co 04 m 0 ca <br /> �lr- aa) �Y d <br /> � F J z 0_ © a O O N N O v ,y a) <br /> E E E — x v so 0 0 O 0 c `n V20. <br /> cn <br /> o L° -� ,�ca L U `o t o _ = a a a a ca a a m o` �' U a ¢ m NO. SAMPLE ID Date Time m 2 z cn m m w w w w w w ° z o v °; '� ac <br /> 1041 X <br /> 1 ►ao- iii - 0.1 0 00 u <br /> 2 - r•� /c /o <br /> 4 - 4 Jc20 < X <br /> 5 - G lois X x 11( <br /> 6 - $ <br /> 7 10o X X <br /> 8 )05(l <br /> 9 1100 X X <br /> io / - lig I► lalie T X <br /> Re' by: Re iYe Relinquished by: Received by: <br /> � �v <br /> Date: 7 01 Time: ;2000 Date: 2 Time: Date: Time: Date: _ Time: <br /> PILE REQ .VE 3IDI ITE_----_ ANC __.'DIT._.__ �: <br />