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1 <br /> ����@��� 4946 Watt Avenue, #38 <br /> Y North Highlands, CA 95660 CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br /> Environmental Labs (916)334-8661 <br /> Project Manager: Phone #: <br /> "T-144- -21-0c, - q b I - 6 3 37 ANALYSIS REQUEST TAT <br /> Company/Address: FAX#: <br /> W.E.T.(r) <br /> FI ft: .� 736S;acK� Ar zOS '76I '_C�3Ll.� TOTAL(r) <br /> Project Number: P.O.#: Project Name: 1 co <br /> Osoa-(O TA L 06Lr�� <br /> o W a <br /> cD LL m - ro t <br /> N W O E a) O V <br /> Project Location: f�lrnp er Si nat 0o N L U <br /> C p 0 W (1) U ca 04 <br /> 0o Ln (n n m c) Z' > > <br /> N (n 0 N U O - c\ uJ rr CC <br /> Method O ra CO a s o a a° �, z U UW) U) <br /> Sampling Container Matrix No m N o 0 0 0 6 0 o > <br /> Sample Preserved � ro UQ') o 2_ o 2 4 r-- ~ ^ N Cc w> 0 <br /> U) U NO 2 as CO CO M (D\ T U .T• ^ O N W UJ < <br /> ID > N F - O O O p O O N N Z .� a n d <br /> DATE TIME W Q Q W W J x ro 0 = ca ca cD cv co ca Q p U 2 W Z <br /> 0 J a u zz v 0 Q O H a o o cD 0. a a a a a a ¢ aro Q a- w - C1. <br /> H <br /> > J J = _ — Z m mF- F W W W W W W W O W U W J U W (n <br /> - P- 0 05-1 <br /> 'T L- <br /> L z- <br /> �L--S?-3 <br /> -1=:r1Do/51 �7- <br /> Reli quiiss`h=ed- by: Date Time Received by: Remarks: Se-.,k <br /> IJLI <br /> Relinquished by Date Time Received by: 0.5 <br /> Relinquished by Date Time Rec 'ved by a yryBillTo: !o l z 5'/. <br />