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i <br /> M i M M = M M M V M. = = M M M Mir M <br /> Billing lnfomla CHAIN-OF-CUSTODY RECORD CA Page <br /> ? oft <br /> Alpha Analytical, Inc. WorkOrder • KLF03061709 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431 5778 <br /> Client TEL (775)355 1044 FAX (775)355 0406 Report Due By 5 00 PM On 23-Jun-03 <br /> Kleinfelder Doug Heard <br /> 2825 East Myrtle Street TEL (209)948-1345 EDD Required No <br /> FAX (209)948-0621 <br /> Stockton CA 95205 Job General Mills/18478 Sampled by Francis X Bean/5394 <br /> Report Attention Doug Heard PO Client s COC# 2492 Cooler Temp 4°C 17-Jun-03 <br /> CC Report <br /> QC Level 3 = final Rpt MBLK LCS MS/MSD <br /> Requested Tests <br /> Alpha Client Collection No of Bottles TPHIE-W TPHIP-w voc_w <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# Sample Remarks <br /> KLF03061709-01AI 28707-MW1 AQ 06112/03 , 6 0 4 TPHIE_C BTXPGAS- BTXEIGAS- <br /> 13 36 C C <br /> KLF03061709-02Ai 28708 MW2 ; AQ 06/12/03 6 0 4 TPHIE_C BTXEIGAS_ BTXEIGAS_ <br /> 11 18 c C <br /> KLF03061709-03A, 28709-MW3 AQ 06/12/03 6 TO 4 TPHIE_C BTXFIGAS_ BTXEIGAS_ — -- -- — - - T <br /> 10 18 c c <br /> KLF03061709-04AI 28710-MW4 AQ 06/12/03 6 0 4 TPHIF-C BTXEIGAS_ BTXEIGAS_ <br /> 1225 C C <br /> Comments Real ice frozen no secunty seals CA/Sac samples <br /> /Signature �P,rlint Name Compan} f - D iteffimee <br /> Received by N/I L/ � J4& f� f, a5tuj Alpha Analytical,Inc !f]�l�JO 1660 <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(Dflnking Water) OT(Other) Bottle Type L-Liter V Voa S Soil Jar 0-Orbo T-Tedlar B-Brass P-Plastic OT Other <br />