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aponinginlormation: American Envirownental Net AEN Pago of <br /> PROPERTIES 4 CHAIN OF Ct7�DY <br /> I. Client: WIC D 3440 Vincent Road,Pleasant Hill.CA 9 5 REQUEST FOR ! <br /> Address. 8 5 3 4 64 8 Phone(510)930-9090 <br /> FAX(510)930-0256 Lab Job Number. <br /> Genteel: Lab Destination: <br /> AIL CWI= Date Samples Shipped: <br /> Lab Contact: <br /> wdress Report To: Send invoko To: Date Results Required: <br /> 2. W STERN GEO—ENGINEERS 3• SAME A Date Report Required: <br /> Client Phone No.: <br /> ligs E- ET <br /> Client FAX No.: <br /> ANALYSIS <br /> Send Report To: I or 2 (Circle one) x <br /> Client P.O.No: Client Project I.D.No.: �4l <br /> Sample Team Member(s) <br /> Date! No• Type <br /> Lab Client Sample Air Time Sample Pres, Comments 1 Hazards <br /> Number Identification Volume Collected - - Conl. Cont. <br /> 44 <br /> i,ru.9rfzti <br /> i <br /> DATE TIME <br /> YATE TIME Received by: 1�� <br /> Relinquished by: 4, !' �j (Signature) <br /> (Signature) �'� ��.J ` �� ''t ! DATE 71ME r <br /> DATE TIME Received by: i <br /> Relnquished by i (Signature) DATE TIME <br /> (Signature) <br /> DATE TIME Received by: <br /> Relinquished try: (Signature) <br /> (Signature) Lab Comments <br /> Method of Shipment <br /> 'Sample type(Specify): 1)37mm 0.8 pm MCEF 2)25mm o.e pm MCEF 3)25mm 0.4 pm potycarb.filter <br /> I' 4)PVC lilter. diam. ... pore size - 5)Charcoal tube 6)Silica gel tube 7)Water 8)Soil 9)Sulk Sample <br /> 10)Olher 11)Other <br /> COPIES: V44TE•JOB FILE YELLOW•PROJECT FILE PINK.CLIENT <br />