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zoz <br /> CLIENT CHAIN OF CUSTODY RECORD <br /> NAME: (�tYl�1(°, I1'�o-r1c�ctF� --I' REOUEST FQR,ANALYSIS Wright <br /> ADDRESS: •� l AJ , H Q S kQ �C e DATE: 164(, jos <br /> g <br /> TCC Cts S PAGE]OF / % Environmental 209.833.0758 • Fax 209 832.5152 <br /> PHONE NO.,( 19t 8'_(,T -c�9I FAX NO. 8I 114 -D'yi Services,Inc. Tracy,CA 95305 <br /> Z3yS f. eJm ck o <br /> PROJECT NAME: Cffr' tf Ariny,jjbAA r°R oPE , j_X-1 Cy ed <br /> SEND REPORT TO::r,.L, - ,n fL <br /> TURNAROUND TIME/ ANALYSES REQUIRED <br /> S MP/L�,R/,�!A��y/E)SIGNATU NORMAL •.,,/ - ro C N <br /> I�(.'(J�' C�.'L6 ✓I V.L�v'.. RUSH <br /> El <br /> SAMPLE <br /> 1n $ m f O <br /> SAMPLE SAMPLING PRESER- CONTAINER SAMPLE DESCRIPTION co $ $ w a yp ti ~ <br /> NUMBER DATEITIME VATIVE SIZEfTYPE WATER SOIL OTHER o cn <br /> 6Z <br /> C 5� 2 - A r� - l� c8 1ut1c CE tO;�. ssI I X1 <br /> e S?t a t3 it: - L- ww SC£ . Bta. "' Get <br /> Woc <br /> p - I — C (4CE, 12!`{ 9cc• It, <br /> fo - tG - C'F' 2: _ �C.C� iG ?"CSS I Ax <br /> u 610 <br /> K- I u - - -`t7' r0 -- t'- - Ci? 11!5 lGi. �rcSS X k x oy <br /> TK- tN - w-9E' 10- 10 - ct rgs 'Sc£ 1'nBM5& o� <br /> lK -2S - C--(O2 c- tc - c8 6:00CE ccs X X t` <br /> T-K - aS-W Ica- (C- lc �8 z.cl ZC' £. 6 ;.,Ea�s X } <br /> COMMENTS: SI k 6f pSs tk)e..a) ,A0.ry,pins tm ut_t_ -kkrr, is 8(050 Al,neridre, N.ki.� ,'T'-C,eL� ,(I.. x{53-76 <br /> �.i.Li-- be1C7mpcz-i-rc4 4N �rnpIf S clSt� 8 A10 UL,U he Cc:ngc•AW 4: 1 . <br /> zE p.esC-i! I.� 51,..,� .IrS G..C� �i-ujd /�S'// .,l ypEn!-S e.. c/r:e..,c0T:t�os PleGse n.,�✓;St��c.+,:S <br /> P 0t H 1G� 1 <br /> cL ahcj �e r�l<; ��i f 7e �:. .� 4 i 6NO /l vt1[�c �Cn! 6cc Faf+ /tia; Sic en CA 9,SZC <br /> 1ished byy(Si n e Date: Received by: (Signature) Date: Relinguishe by:(Signature Date: Race' d y: ( 'gna re) te:(0070i� <br /> IL { (O Ok <br /> ra pany/: J Time: Company: - ime: Company: Time: Company. <br /> ell <br /> �Q �k <br />