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Department of Toxic Substances k- Erol <br />Environmental Chemistry Laboratory <br />700 Heinz Avenue, Suite 100 <br />Berkeley, CA94710-2721 <br />• <br />Authorization No: <br />Collector: <br />Sampling Site: <br />Procedure: <br />Preliminary Sample Infonnation. and Preparation Procedure <br />Printed on: 1/19/2007 <br />/67EC0150 <br />Alex Baillie <br />CAR000143776 . <br />316 North Main St <br />Lodi CA 95240 <br />Date Collected: 1/18/2007 <br />Date Lab Received: 1/18/2007 <br />Sample Storage: Q Walls in Fridge <br />VOC GC/NIS <br />Q Other. <br />Solid samples: Weight is estimated by weighing the sample container against a tared empty container of similar sizq shape and <br />type. Sample pre-prep'd by applicable HNIL SOP. <br />Liquid and multiphasic samples: Volume is estimated by visually comparaing the contents of the sample container against a <br />pre -calibrated container of similar size, shape and type. The sample contents may also be estimated by comparing the ratic(s) of <br />the height(s) of the phase boundary(ies) and the height of the container against the total volume of the container Sample <br />pre-prep'd by applicable SOP. <br />ECT, Sample <br />`! <br />Collector's No. <br />Sample Matrix <br />Container** Approximate Amount Pre -prep Pre -prep Sieve <br />Type Size Received After Prep SOP No. Treatment Type Size <br />A(� 59 <br />RH10 <br />solid <br />G (Glass Container) 'Liter 362g <br />** G=glasss container Plastic container G-T=glass with teflon lined cap GV=40m1 VOA vial S.Steel=stainless steel <br />Comments: <br />Alvrep'd by: CC(I'yU v1 X i,i <br />Signature: CC 4�'w k,/ Date <br />Supervisor's approval (if any action taken): Signature: Date <br />