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Billing Information: e. 1 of 1 <br /> CHAIN-O&CUSTODY RECORD CAAmENDEaD <br /> Alpha Analytical, Inc. WorkOrder : ARC 11100323 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> TEL:(775)355-1044 FAX:(775)355-0406 ReportDue By : 5:00 PM On : 03-Oct-11 <br /> Client Report Attention Phone Number EMall Address <br /> Arcadis-US Scott Hackman (916)786-7369 x 7369 scott.hackmanCarcadis-us.com <br /> 1410 Rocky Ridge Drive - — — —- EDD Required : No <br /> Suite 330 <br /> Roseville,CA 95661 Sampled by:Tom Royse <br /> PO: Cooler Temo Samples Received Date Printed <br /> Client's COC#: none Job: RV009840.0001/OCC/Lathrop 1°C 01-Oct-11 06-Oct-11 <br /> QC Level: S3 = Final Rpt,MBLK,LCS,MS/MSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No.of Bottles 310ASSAY iCORROSIVI FLASH_IGN TPH/E_W TPHiP-w voc_w f T <br /> Sample ID Sample ID Matrix Date Alpha Sub TAT w n�T� m <br /> P P P yrry Sample Remarks <br /> �ARC11100323-01A W-09-30-11-TR AQ 09/30/11 6 4 0 �w coeo i tgni�abtiry TPHE c aAsc 8260;oxv_ci <br /> waw` <br /> 16:45 Da '�vy s <br /> uammuio <br /> a <br /> Comments: ASAP TAT,per Randy/Kevin No security seals Frozen ice Saturday delivery.Samples kept cold and secure until login on Monday.Analyze for TPHE TPH/P 8260/0XY standard list.per <br /> Randy/Kevin Amended 10/6/11 15.20 to add Reactivity,Corrosivity&•Ignitability subbed to CLS and Hazardous Waste Determination subbed to Block on 5 day TAT per email from Scott <br /> Hackman.Due 10/14/1 LKM <br /> Signature j Print Name l Company D ta�e/T mel <br /> Logged in by: _ �i�f v/% Alpha Analytical,Inc. <br /> NOTE: Samples are discarded 60 days after results are reported unless other arrangements are made. Hazardous samples will be returned to client or disposed of at client expense. <br /> The report for the analysis of the above samples is applicable only to those samples received by the laboratory with this COC.The liability of the laboratory is limited to the amount paid for the report. <br /> Matrix Type: AQ(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Drinking Water) OT(Other) Bottle Type: L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />