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Corporate Laboratory (1551) <br />208 Mason Street, Ukiah CA 95482 <br />707 468.0401 (phone) <br />707 468.5267 (fax) <br />clientservices@alpha-labs corn <br />North Bay Laboratory (2303) <br />737 Southpoint Blvd, Petaluma CA 949524 <br />Bay Area Laboratory (2728) <br />262 R lokenbacker Circle, Livermore CA 94551 <br />Central Valley Laboratory (2922) <br />9090 Union Park Way #113, Elk Grove CA 95624 <br />San Diego Laboratory (3055) <br />2722 Loker Ave West, Ste A Carlsbad CA 92010 <br />Chain of Custody - Work Order <br />Reports and Invoices delivered by email in PDF format <br />Lab„./H6M2_ Pg of <br />Ahrknelnyticz1 Laboretonea Inc <br />wvvw.alpha-labe.corn <br />WATERS, SE DIYIENTS, SCUDS <br />Report to EDC (OTO) Client Into: Project Information 1 Signature below authorizes work under terms stated on reverse side. <br />Company: <br />EnvironmentaLcom LLC <br />Conlperly: <br />k041e,-.4e_O- (-4 <br />Project ID: <br />Water Quality 5 Day Total Number of Containers per Sample ID I Analysis Request TAT <br />' <br />TEMP 'C <br />Attn <br />Da <br />: <br />Martin <br />Point of Contact: <br />keve-ii:i )2, ri-L,`) <br />___, <br />.,-sr <br />A <br />-"... <br />',..IN <br />Standy ard <br />5 das <br />0 <br />Ukih <br />( • L ( <br />arrell Project No: <br />Address: <br />6602 Second Street <br />Riverbank CA 95367 <br />Address: po 7r7c>.5.t+lui-4-ptly <br />V---, pr-% C_/ç- 10(1.1rermore <br />1--. 1, - <br />PO Number: RUSH: <br />3 days 0 <br />48 hours <br />0 <br />Other: <br />days <br />0 <br />Preapproval <br />required <br />PhoneiFax: <br />209-869-9260 <br />Cell phone number: <br />jVCr-- C5 45 -.?,..T Elk Grove Email Address: <br />darrell©environmental.com - <br />Email Address: <br />h.c,A2.„5-4-e q.,-:-4 <br />Field Sampler - Printed Name & Signature: Container & Matrix Petaluma <br />r> <br />E-5 <br />.- 2 <br />3 Unrneseril I Preserved I ,i <br />3 IDrinking Water I u ) <br />1 - 1 3 .,--- lit <br />5 <br />Carlsbad <br />Sample Identification Sam ling <br />8:Date Time Notes / DDW Source Codes <br />upQA1 iiyig•L( _liZ-- -.24... )4-- X __I _? , <br />NV $ )(- .7:-. I )1,- <br />_ <br />_ <br />Relinquished by Received by Date Time DDW Write On EDT Trans <br />State System Number: <br />It 'Y' please enter the Source <br />ssion? 0 Yes 0 No <br />."-./.... -----7--- V.-5/777tt <br />.177,11-1(f <br />/V.53- <br />1 7 (I <br />/r).._ 124,4- Vkar---•_- , <br />Olv\ Number(s) in the column above <br />'1/\ L.) lisj I -3). L'( ( 3 6 CA Geotracker EDF Report? Yes No 0 0 <br />Global 10 Sampling Company Log Code- <br />EDF lo (Email AddresU jlni jlik.l I - 3 ( - z-`( z_e 3 D <br />Travel and Site Time- rage: rt. Stipp'.