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CHAIN OF,,,CUSTODY <br /> and Analysis Request Form <br /> Company: Laboratory: <br /> IT Corporation Sparger Technology, Inc. 48 Hour <br /> 1433 N.Market Boulevard,Suite 1 3050 Fite Circle,Suite 112,Sacramento,CA 95827 <br /> Sacramento,CA 95834 Phone:(916)362-8947 <br /> RW <br /> Phone:(916)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:43AOO12 EA#:10-OA750K-5U <br /> Analysis <br /> 6010: Special <br /> z Lead Notes(see <br /> Sample ID: Comments Date Time I Container Total n` Matrix Only TAT below <br /> 1 120 11 o,i 2 't plastic bag 1 ice X 48-hr <br /> 3 120 91 0.3 I plastic bag 1 ice X 48-hr <br /> 24 120 q l C.4• plastic bag 1 ice X 48-hr <br /> 5 120 q : 0 plastic bag 1 ice X 48-hr <br /> 6 120 4 0.3 I plastic bag 1 ice X 48-hr <br /> �1 120 4-1- 0,16 plastic bag 1 ice X 48-hr <br /> 2$ 120 13 0,1 /.J C W plastic bag 1 ice X 48-hr <br /> q 120 43 v 3 plastic bag 1 ice X 48-hr <br /> 0 120 '13 i7. PCtr - plastic bag 1 ice X 48-hr <br /> -31 120 41 O,1 plastic bag 1 ice X 48-hr <br /> .1 120 G} p,3 plastic bag 1 ice X 48-hr <br /> J 120 44 0,b plastic bag 1 ice X 48-hr <br /> 31 120 S 0.1 plastic bag 1 ice X 48-hr <br /> 35 120 S (), N plastic bag 1 ice X 48-hr <br /> Ib 120 S 0,L / plastic bag 1 ice X 48-hr <br /> �3 120 yd O•I I I& plastic bag 1 ice X 48-hr <br /> 3y 120 q b plastic bag 1 ice X 48-hr <br /> ;y 120 94, D,b plastic bag 1 ice X 48-hr <br /> 40 120 •4 7 0.1 ( plastic bag 1 ice X 48-hr <br /> 41 120 4 7 plastic bag 1 ice X 48-hr <br /> 41 120 97 ly plastic bag 1 ice X 48-hr <br /> {) 120 q f 0.1 031 plastic bag 1 ice X 48-hr <br /> 44 120 4 ff 0.3 1 plastic bag 1 ice X 48-hr <br /> 43 120 4 & plastic bag 1 ice X 48-hr <br /> A 120 91 D• ( 3 plastic bag 1 ice X 48-hr <br /> 1l 120 44 0 3 plastic bag 1 rice X48-hr <br /> 120 49 Q,(o plastic bag 1 X 48-hr <br /> t4 120 SO 0.1 plastic bag 1 EX48-hr <br /> SO 120 SC 0,3 plastic bag 1 X 48-hr <br /> 120 s f� Q,(� plastic bag 1 X 48-hr <br /> Notes: <br /> i <br /> Relinquished By: Received By: <br /> Print Name: Print Name: <br /> Date: NrGI� �.}-�r`J ��/ Date: 2 , �, 1 <br /> Time: 'Z/c F/c j Time: 0 D <br /> /fib ( �• <br /> Relinquished By: Received By: <br /> Print Name: Print Name: <br /> Date: Date: <br /> Time: Time: <br /> Page t�'of <br />