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4 <br /> John F'. Cummings & Associates <br /> H R I O F C� R S T O D� Environmental Consultants <br /> �l V T �� P.O. Box 2847 <br /> Ph. (510) 505.0722 <br /> Kra Fax (510) 791-3306 <br /> Fremont, CA 94538-2847 <br /> 110 2nd Avenue South D--7 <br /> iPacheco, C9 94553 Contact: <br /> kn p Sampler; <br /> �-798-1b20 � Pra�ect Name: -O 61:)19 <br /> Date: <br /> Analyses Requested <br /> Gs a �+ tie ti$D� 1lba <br /> Sample I.D. Date/Time Matrix Container ,�.� �� -2►w o, oti <br /> SaMpied Desc. No. of Type Lab. <br /> eliX �. g <br /> 4. <br /> S. <br /> 7. <br /> FREER' vNM1 V <br /> OAS OSG ME�CS <br /> A <br /> �. :.EAD PACEMSENF=COtiTA! ESS <br /> A Relinquished by. Date.-k257 Timo-./630 Received 6y: ` 20 q/ Date:' Tim <br /> e. <br /> _V quiz-hod b Date; T1me:G; Received by: at i Time:� <br /> Relinquished by: Date; Time: Received by: _ Date; Time: <br /> Turnaround Time: <br /> Additional . : <br /> Comments: d <br /> Page I of / <br />