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EMA-A—**4!H <br /> Vo CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br /> OJ NO PROJECT NAME <br /> ANALYSIS TYPE REQUESTED <br /> SAMP RS (Signature) w <br /> W a <br /> ID NO DATE TIME STATION LOCATION u :E (}, <br /> v W \' REMARKS <br /> W i b 0%1 /3aS7 s !r oo i",Le <br /> , <br /> PLEASE RETURN ICE CHESTS <br /> AND BLUE ICE TO WATERWORK <br /> LAB L4 .yd[W PROD idG� <br /> R I quashed by Date Time Received by Relinquished by Date Yime Received by <br /> X031 <br /> Reiinqui ed b Date Time Received by Relinquished by Date Time Received by <br /> o Relinquished by Date Time Received by Laboratory Date Time REMARKS(Shipping Related) <br /> 1710 MAEN STREET o ESCALON,CA 95320 ® (209) 838-3507 <br />