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r r r r r r V --' r - it r r r' - r r r r ` r r - r <br /> Billing Information: CHAIN-OF-CUSTODY RECORD Page: 3of3 <br /> -- �-Alpha Analytical, Inc. - —� - �� <br /> WorkOrder : CHHC11090645 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> TEL:(775)355-1044 FAX:(775)355-0406 Report Due By : 5:00 PM on : 20-Sep-11 <br /> Client: Report Attention Phone Number Entail Address <br /> H2M Hill Mark Wuttig (805)371-7817 x23 mark.wuttig@ch2m.com I <br /> 325 E.Hillcrest Drive Suite 125 - --- - -- - - -- - — EDD <br /> Elizabeth Bryant (805)371-7817 x ebryan[@cb2mcom Re quired:Yes <br /> Thousand Oaks,CA 91360 Steve Osbom (707)249-1633 x osbomvQkinde mo <br /> _ rgan.wm Sarupled by:J.Lovesol,Christoph S. <br /> PO: Cooler Temp Samples Received Date Printed <br /> Client's COC#: BTS#110901-JL1 Job: KMEP Holt Release Site p pC 03-Sep-11 06-Sep-11 <br /> QC Level : S3 = Final Rpt, MBLK,LC%MS/MSD With Surrogates <br /> Alpha ClientCollection - _ Requested Tests -- -No. o/Bottles I TPWE w tPWP W Vol -- <br /> Sample ID AQ 09/01/17 5 Sub TAT <br /> Matrix <br /> —L Sample Remarks <br /> CHH11090645-21 RW-1-HS AQ Date AI ha Gns-N arxE — T— <br /> _ 0 10 <br /> IT <br /> 14:50 i I <br /> CHH110901tii DUP-1 AQ 09/01/11 5 0 10 Trrue_x ave-N =E-C <br /> 00:00 <br /> CHH11090645-23A DUP-I-HS • AQ 09/01/11 5 0 10 T N GAS-N lsrxe_c <br /> _ 00:00 ,, <br /> CHH71090645-24 EB-IA - - I-VOA Received broken <br /> p AQ 09/01/11 4 0 10 TPtue x cASN arxE c <br /> 14:35 <br /> CHH11090645-25A TB-1 AQ 09/01/11 2 0 10 GAS-N i srxe_c <br /> 06:00 Reno Trip Blank 7/19/11 <br /> ---- EB-1B AQ 09/014:411T5 0 10 T _N - ans-ry aim-- ---T-1 - —�- -� - -- <br /> CHHt 1090645-26FV /01/1 <br /> Comments: Security seals intact Frozen Ice Saturday delivery Samples received 9/3/11 kept COW and secure until 1 Qin 9/6/11 TPH/P&TPH/E=NV limits Total K Imes <br /> 3ignnture._�- —Print Name _ _Company <br /> Logged in by: <br /> Analyteat,Inc.- 9WI <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 offal 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: AO(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 />