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4946 Watt Avenue, 038 <br /> Exce em North Highlands, CA 95660 <br /> *CHAIN-OF-CUSTODY RECORD AND ANALYSIS REST <br /> Environmental Labs '-(916)334-8661 <br /> Project Manager Phone# i/G ` <br /> v/ rT- 'fc- ANALYSIS REQUEST TAT <br /> Company/Address FAX# i w <br /> v C=f?A.r./F,,.i Y <br /> Ic i.'!,rti "r TBTAL(r) <br /> Project Number P O# Project Name uv' _r r c <br /> �/ N w a .-. <br /> 0CO <br /> I nt W <br /> Project Location Sampler Sature m � � °° � w <br /> i v <br /> LID <br /> ~- v <br /> o v <br /> r Fp W <br /> WMethod 0 a O. p a Z <br /> Sampling Container Matrix 28 8 .0 6 WSample fn <br /> n Preserved n a wO <br /> DATE e 3 Ua <br /> TIME w ao w w = wo <br /> nZz N aa ac aa 03_ w ¢ <br /> 0 IL <br /> IL <br /> > W J J XX 2 Z (A m f- H F H w W w W W w w 0 cc U w (� S W N <br /> r <br /> -17-3-410 s fL �1/1' A I IA. a A P X I <br /> I I 1/y <br /> TT-N P Z 7 5r L114174 <br /> 11 . IN <br /> h w'53' /110 fS <br /> 0 <br /> 77-HP- z z f�y/y! �1'�/r 7- <br /> Relinquished <br /> Relinquished by Date Time Received by Remarks <br /> / X'Er�p �r t�iFf� <br /> Relinquished by Date Time Received by <br /> Relinquished by Aal;e Time Rec I d by La ato Bill To. <br /> I <br />