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EXCellCPo 500 Giuseppe Court Suite 3 <br /> Roseville,CA 95678 CH -OF-CUSTODY RECORD AND ANALYSIS REQUES <br /> nvironmentatlabs__ Fx 416-771-4784 <br /> Project Manager Phone# Electronic Data Deliverables Request <br /> Joe Ramage (916)354-3250 Email Address <br /> Company/Address Fax# <br /> Ramage Environmental (916)354-1787 - <br /> Project Location Project Name I ANALYSIS REQUEST ' Pae of <br /> 5000 S Airport Way, Stockton Stockton Metro Airport <br /> Electronic Data Deliverables Request Wet c BBV <br /> Global I D #T0607700159 Email Address doulosenv comcast net o `O Total 0 Due D to <br /> 00 <br /> Protect Location Sampler Signature ry o o o L () <br /> (%4 00 m W Q1 L V <br /> CDQ co p 2 0 N �1] Y V <br /> Me od . ti N N <br /> _ C 2 w <br /> Sampling Container Matrix S �' m _ a p �i r <br /> Preserved Q Ln m w m o a �, N <br /> N o E a� 0 0 o co , u, <br /> Sample g �ff. Co � � '` xJ <br /> 0to lCl N N Q n 'T ` i- <br /> D N 00 c N <br /> ID Date Time u, v L a v o °_� m o 0 ( o a_ z `� N <br /> Cl) W w X N ca O m a LL � w m to m > � U N o <br /> O g 0 5 Z w 0 a 0 Fw- iL a o U ai O w H O m �' E m rt o Q LAB USE <br /> U z va ¢ w P ti M a a > U z U ONLY <br /> 1 LU <br /> tf - 3 l�zs rtio. <br /> tnqulshed Date Time Received by Remarks/Condition of Sample <br /> i <br /> Relinquish d by 4Date Time Received by <br /> Relinquished by Date Time Received by Laboratory Bili To <br />