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10771 f .1 I. :'] <br /> ECN CHAIN OF CUSTODY <br /> PRECISION ENVIRU=T AAT,41TMYSISREQ UESTDOCUMEA7 <br /> 4 <br /> f <br /> � _ gush Analysis: 5 Days _2 DaVs�� s <br /> �T <br /> ,1 . u S&n�pler(s): subject to surcharge <br /> Client• � t <br /> 1I�--' � ort required= sea no <br /> Customer Number: Comp Sampler Set.Up Time: QkQ C report <br /> ]S yes,To: State —Client• Other <br /> Ad(hess:~ Time: Mileage: Lab number. 0 E5 0 1 <br /> one: Y s A a <br /> td t <br /> " p <br /> 1'LCL s• y (//� �y/) Q q j� �. �;y: a !�'j <br /> J Project name:. a s a Z <br /> �- <br /> 1 Contact person: F x s _ z` S `J o bi . o <br /> c g <br /> e R 4i C,�-A b co <br /> E 5 Y a CA 'S <br /> ORMATION <br /> Ca <br /> j Date Time & Iy a <br /> Sample kation Description Sample Sample P <br /> Numb x x <br /> 1�1f p_Y VJC L. 3 v3 P, P b l <br /> n <br /> V ' <br /> 7) <br /> 7 <br /> X) <br /> f3 <br /> 9 � <br /> � 5 2 y <br /> fl 14f �s Recei y: Date Time�-3S <br /> Reliequis by- <br /> Data ime <br /> N Relinquishe by: <br /> Date Ti Received by: <br /> Date lie - <br /> Date ime Received 4y, y <br /> pate Tissie <br /> n Relinquished b3. <br /> PRECISION ENVIRO•TL`CH 7743 N-West Lame,Suite B2 * Stockton CA 95210*Telephane(209}477-8105 $FAX;(209)477-8149 <br />