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I <br /> t <br /> i <br /> WENT CHAIN OF CUSTODY RECORD <br /> NAME: fVLA,0 S REQUEST FOR ANALYSIS s. <br /> ADDRESS_ nATE:•�e 73,Zda3 Wright <br /> S � PAGE oF^ �,;�;� Environmental 209.833.0758 •Fax 209.832.5152 <br /> PHONE NOxe - m 7S FAX Na.7o9- Services,Inc. 67 E. 1 Oth Street •Tracy,CA 95376 <br /> PROJECT NAME: T �A A <br /> SEND REPORTTO _—kAAA <br /> PLER NAME/SIGNATURE TURN AROUND TIME i ANALYSES REOU[RED <br /> NORMAL <br /> RUSHE] 8i in A;t <br /> } <br /> SAMPLE SAMPLING PRESER- CONTAINER SAMPLE DESCRIPTION <br /> NUMBER DATEITIME VATIVE SIZEITYPE WATER SOIL OTHER <br /> - CA -03 st-ss' !-Z3 a3 - - )z -Wel • �;�,�'r . .. _. :_ . -.. _ _.:_ -.:.. .. .: - - . . .. <br /> 7 0 7 712,5109 t&V, 14cl <br /> A17- <br /> 7-03w us'vf CY&S103 Itf,9 4c,( I-dwill VVPf <br /> i <br /> coMMENTs: Arr" ; CA" — IFF <br /> TssT��0�36 %plc ,.7rw�rc�rr?c�rc <br /> res LG <br /> '� /sscrla!IO/4YT!/ '='v ZZ I fe7,o,4aI03 t02+ <br /> li Si ature} YJ'Z�3/6 calved by:(Signature) Dale: linguished by:(Signal ) Dete: ived gnalure) to: <br /> .— C 3 f <br /> Company Time: Company: Time: <br /> JYIN Q(/K If y 1,p Company e: Company. Time: <br /> I <br /> AA' l T. ' X023 <br /> i <br />