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Mon a Laboratories, Inc. <br /> 2128 North First Street,State E,Sen Jose,CA 95131 <br /> Phone(408)453-8090 Fax(408)453-8092 Chain of Custody <br /> Batch # M1-110 <br /> Company SEMCO Project Name Langston's Market 8 <br /> Address 1217 South 7th Street Site Address 15615 7th street o x .. <br /> Modesto,CA 95351 Lanthrop,CA <br /> Project/PO# a r- N d o c c t <br /> U <br /> Turn Around Time W A U Go Go m v <br /> Project Manager g p *0 <br /> Phone (209)524-9653 Fax (209) 520-6663 24 HR 48 HR Mobile Laboratoryw , 0 - 3 <br /> SAMPLE LOCATION SAMPLED #of MATRIX <br /> 1D DESCRIPTION Time Hate Ctrs Sod Water Air <br /> WTW-1 1006 911195 1 X X X X <br /> WTW-2 10 07 911195 1 X X X <br /> WTW-3 15 20 911195 1 X X X <br /> WUTW-2-T4 1431 911/95 2 X I X X <br /> WUTW-3-T5 1440 911195 4 X X X <br /> NW 1s'-1 1107 9/1/951 1 X X X <br /> F-1 1122 9/l/95 1 X X X <br /> NE 23'-2 1127 911/95 1 X X X <br /> DN 20'-3 1135 9/1/95 1 X X X <br /> DW 20'-4 1153 9/1195 1 X X X <br /> DE 20'-5 1239 911195 1 X 1xx <br /> DS 21'-6 12 5419/l/95 1 1 X X X X <br /> SW21'-7 1312 911195 1 X X X <br /> SE 21'-8 14 19 911195 1 X X X <br /> i <br /> i <br /> Sam ler's st ature Sampler's name CV kp*,S2S Comments <br /> Rehr tshed b Received b �J/h,� G'/u!�/'ti/-�R Date 4/"ZYJ— <br /> Relinguished by Received by ate r7�� sC7 5 <br /> Relinguished by Received by Date <br />