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7 -1 ;'-�-7 ;'tel 77-1 ____1 771 1'"'".l �-] "7 7 -1 <br /> PRECISION ENV[RO-TECH CHAIN OF CUSTODY <br /> AND ANALYSTS RE'Q VEST DOCUMENT <br /> ' f <br /> J <br /> J <br /> I n { Rush Ana]ysis: 5 DaFa._2 Days_24hrrs <br /> Client: ���Ci c] fi-Ass oLr . Sampler(s): Subject to eurchecge <br /> Customer Number: CG' r <br /> Comp Sampler Set Up Date:; Time: QA/QC report required: yea no <br /> Address: Z 2 4 C)01 t Time: Udeage: If yes, To: State Client Other <br /> Lab dumber: aZ.SOS— <br /> Phone: �• <br /> FAX: - �� <br /> 0. '� H m <br /> M <br /> G IProject name: cj Ste <br /> Contact person: <br /> P4 <br /> z <br /> SAMPLE INFORMATION <br /> vjay9•o q�y'r <br /> �d <br /> {/Jl� <br /> Int;19 N <br /> Sample late Time A Ry IACgtlOII Description Number Sample Sample x> <br /> ti <br /> ' <br /> 1 S9 0 tn.t ���'-' S�. Ty-a to-'-03 11 ► (S P X <br /> r <br /> J <br /> r <br /> J <br /> J <br /> i <br /> 7 <br /> Relinquished by­. ""E --- Date )'q aime 'LKVA"Received bye: Dat 'i _Time g i 4_ <br /> a <br /> Relinquished by: Date Time Received by^ Date Time <br /> 777- 1 3 Relinquished by_ Date Time Received by-- Date 'fime- <br /> .PRECISION ENVIRO•TECH 7743 N.West Lane,Suite B2 * Stockton CA 95210 * Telephone(209)477-8105 *FAX (209)477-8148 <br />