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L1p M <br /> A SAq&E CUSTODY 'v'30-5 { ('5'� L = • " • " CLIEN ` f CONTACT NAME PHONE!j <br /> ��Gf ftp Vt e tYtijS 5iirre, M,Q All <br /> x Water& Hazardous Waste ADDRESS CITY STATE ZIP PRC J MGR <br /> Sampling,Analysis, &Consultation / LrxS� Tvvn�'� e-647-0/ Loch, �k x�ria ,, 1R <br /> 1885 N KELLY ROAD P NAPA,CA 94558 BILLING ADDRESS P p 6JFAXPHONE <br /> (707)258-4000 • Fax(707) 226-1001 _MA <br /> l PROJF,JjT fI PROJECT NAME SAMPLER{PRINT&SIGN NAME} /XANALYSES REQUESTED DUE DATE <br /> t Al l tl, l�1 CAI <br /> LAB p COMP <br /> DATE TIME CONTAINER (Non or CALTEST <br /> SAMPLED SAMPLED MATRIX AMOUNT/TYPE PRESERVATIVE SAMPLE DESCRIPTION/SITE Caltest GRAB REMARKS LAB it <br /> 13 vp V I QaM w- 3 <br /> fr� <br /> p <br /> Mw - Mee d 0'1 <br /> +q JAJ e% tri • V,Afjf f� <br /> I ' <br /> I LA <br /> I f � r`�` r i ��rt`��l✓ i .f. , i �" �'`r t� ,L' '^�`� 1 v t:�t��� � <br /> I <br /> t <br /> RELINQUISHED BY DATEITIME RECEIVED BY RELINQUISHED BY DATE/TIME RECEIVED BY <br /> f <br /> c <br /> ~� SHIPPING METHOD SHIPPING If RECEIVED BY DATE/TIME CONDITION CONTAINER TYPES MATRIX <br /> COLD,Y)N SEALED YIN INTACT Y/ AL = AMBER LITER AQ = Nondnnking Water <br /> AOL= 250 ml AMBER Digested Metals <br /> Z AHL = 500 mt AMBER WW- Wastewaters <br /> W REMARKS Pt = Pint(Plastic) Non Digested Metals <br /> HG - Half Gallon(Plastic) FE - Low DLS Final Effluent <br /> SJ = Sod Jar DW = Drinlarng Water <br /> 3^ , B4 - 4 oz BACT SL = Soil/Sludge/Solid <br /> BT = Brass Tube AR - Air <br /> IM VOA= VOA(40 ml) IW = Imr• Water <br /> 1, OTC= Other Type Container Ni 9d Metats <br />