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16 <br /> 500 Giuseppe Court,Sunt 9 A <br /> Exce ieIiTfA Roseville Ca 95678 CHAIN-OF-CUSTODY RECORD AND ANALYSIS RE EST '\'" � <br /> Environmental Labs (916)773 3664 <br /> Project Manager Phone# 7 <br /> {y <br /> VW.- J I� b/ _C 3 7 ANALYSIS REQUEST 1 q TAT <br /> Company/Address FAX# w E r t✓) <br /> I<tti . iL o G 3 `f 2 + t TOTAL{✓} <br /> Project Number P O# Project Na w t o <br /> � N W L N y L Y <br /> m z ttl <br /> 00 <br /> Protect Locate n arnp�er Signat a o Lo 0 LU W <br /> �• _ <br /> �JY1-E%"l C O LO ¢ y U i t�O N N <br /> 76 Cd `� y H ° a0 1 o o `� 'Jww <br /> Sampling Container Method Matrix N " o m o o 0 o d G o a >, ; rn <br /> Sample w U Preserved o a p p °n a O z m $ � N J ° o N W W a <br /> D i iN S U .. a n W <br /> � V) F rr �O dl N O O P p C G LaV N z a ' (L � a Q D <br /> DATE TIME a w a � w w � x ,� m fl = w CD (p o m 0 a V Q = w z <br /> c] w z ~ w w z a a a e a a a m a U N a a <br /> O J U z v O a 0 N f— a a a o ca a a a a a a m a a t�i V W N <br /> (A J T S z N m m F- f H 0 W w w w W W w p tx c� W J <br /> T � <br /> 511 5 X <br /> I <br /> a z� <br /> ` z5 <br /> 11 zI 5 k 1 <br /> R 'ltngytshed b <br /> Z <br /> Time Received by Remarks r ,c r{sw "�� -)6 <br /> Relinquished by Date Time Received by <br /> Relinquished by Date Time Re etved by L bora Ory Bill To1''><-fit ►�'✓ <br />