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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 I 48 Hour <br /> Sacramento,CA 95834 Phone:(916)362-8947 <br /> Phone:(916)928-3300 Fax:(916)928-3341 Fax:(916)362-0947 / <br /> Send Results To: Project: <br /> 1 <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:43AO012 EA#:10-0A750K-5U <br /> Analysis <br /> 0 <br /> ` 6010: Special <br /> z Lead Notes(sae <br /> Sample ID: Comments Date Time Container Total o Matrix Only TAT below <br /> 1 ti`s I plastic bag 1 ice c, X 48-hr <br /> -420 plastic bag 1 ice X 48-hr <br /> 1 plastic ba 1Ae <br /> X 48-hr <br /> plastic g 1 X 48-hr <br /> 1 plastiag 1 ce X 48-hr <br /> plan c bag 1 ice X 48-hr <br /> pl tic bag ice X 48-hr <br /> 1 astic bag 1 ice X 48-hr <br /> 12 lastic bag 1 ice X 48-hr <br /> 1 120 34 0'1 aj '"x$36- plastic bag 1 ice X 48-hr <br /> �. 120 110 j plastic bag 1 ice X 48-hr <br /> 120 31 O L7 plastic bag 1 ice X 48-hr <br /> 4 120 3 S Cl-i sl vtJ6 fll 7 plastic bag 1 ice X 48-hr <br /> 5 <br /> -120--39- 0.3 S, LC plastic bag 1 ice X 48-hr <br /> b 120 3 S 0,(1 plastic bag 1 ice X 48-hr <br /> 7 120 31, 011 N plastic bag 1 ice X 48-hr <br /> D 120 71 0.3 plastic bag 1 ice X 48-hr <br /> 120 A 0110 plastic bag 1 ice X 48-hr <br /> 10 <br /> 120 a7 0'1 0207 plastic bag 1 ice X 48-hr <br /> 11 12o 37 0.3 plastic bag 1 ice X 48-hr <br /> 11 120 3 7 0 b plastic bag 1 ice X 48-hr <br /> 13 120 38 C.f L1' /S` plastic bag 1 ice X 48-hr <br /> ly 120 31 6),3 plastic bag 1 ice X 48-hr <br /> IS 120 35 0,V plastic bag 1 ice X 48-hr <br /> `b 120 3-7 t•I ] plastic bag 1 ice X 48-hr <br /> 1� 120 3 1 C. �, plastic bag 1 ice X 48-hr <br /> 19 120 3"l 0.Iv plastic bag 1 ice X 48-hr <br /> 14 120 -/c 0-1 plastic bag 1 ice X 48-hr <br /> 7-e 120 9 C I D.) plastic bag 1 ice X 48-hr <br /> Zl 120 1 17,b 1 plastic bag 1 ice X 48-hr <br /> Notes: <br /> Relinquished By: ` Received By: 0 <br /> Print Name: Print Name: f IA,4. <br /> Nc <br /> Date: 1 e,4r;1?Ve z i Date: -fL^ <br /> Time: -Z/c I i Time: <br /> /�'; rr v <br /> Relinquished By: Received By: <br /> Print Name: Print Name: <br /> Date: Date: <br /> Time: Time: <br /> I <br /> P497--F' of <br />