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i <br /> (AAnalytical Sciences CHAIN pF CUS TOD Y <br /> P 0 Box 750336336PePetaluma,CA 94975-0336 � <br /> i�nrl 110 Liberty Street Petaluma CA 94952 <br /> (707)769-3128 Lab Project Number ZC.D <br /> Fax(707)769-8093 Client's Project Name W.52, (YJN <br /> Client's Project Number <br /> ' cukNT wFORM,4TJ0N',, <br /> Company Name Apex Envirotech, Inc GeoTracl<er EDFa Np <br /> Address 11244 Pyntes Way,Gold River,CA 95670 Global ID 077 <br /> 1 4q29 <br /> TURwRQ11ND1,jikf"(check lane} <br /> Contact N Same Day <br /> Phone# 916 851 0174 48 Hours 24 Hours <br /> Fax# 916 851 0177 5 Days^ Normal Page of <br /> e-marl JCII fe f-P APc w, <br /> r` ANM.Ysrs <br /> Date # Presv <br /> 110 Item Client Sample ID ALT l0 Sampled Time Matrix Cant YIN N Lab <br /> Comments Sample# <br /> �,o <br /> W <br /> i <br /> 1 VY- 15- T 5- ias �0 3 Ga_ a 17Zo 0 <br /> 2 Q5177 END LIO?A26 14CL Xo <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> S <br /> 9 <br /> 10 <br /> SIGNA TURES <br /> Sampled By <br /> Relinquished By Receive <br /> Signature Date Time Signature to Time <br />