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THE CZAN JOAQUIN COMPANY INC. <br /> RAINIF <br /> CT7sTODY1 <br /> Transmit results to office checked below: <br /> 41EQ.-A", . . TF R <br /> S <br /> U 33233 South Koster Road, Tracy, CA 95304 <br /> � 07 <br /> Voice: (209) 832 <br /> -2910 Fax: (209) 833-1288 14 7 <br /> 1120 Hollywood Ave. No. 3, Oakland, CA 94602 <br /> Voice(510)336-9118 Fax: (510) 336-9119 <br /> Project: (f. P^J ----I<-ce> VWS', 4-* Laboratory: <br /> Project No.: a-,Z-1 114- Proj e9t M g . Carrier: <br /> Sampling Team: -_-t>-L, iLA Waybill No. <br /> Site Global 1.D. No.: —7-zC,-Y-7 0C> <br /> H!Z' <br /> Type lE field` -F1 . 7.1-2 'it; <br /> Sample- <br /> narequested <br /> Wellhead/ Date <br /> Number 0M _,d. <br /> Ric P t <br /> 0. <br /> MP <br /> t7' <br /> Z �tZ b iA\ou-i. icl� <br /> A/ -7-A"e7 <br /> Ge 1-,z <br /> Sample Hazards Routine g, Expedited Ll Special Q <br /> Notes: C-• A>vt,,ova4A- -7 NeC�, S,/ <br /> CUSTODY RECORD Print Name Com an Date Received Time Received Date Relinquished Time Relinquished Signatare <br /> Originator: <br /> Received/Relinquished by: <br /> Received/Relinquished by: <br /> Received/Relinquished by: <br /> Received at Laboratory by: <br />