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®=° ENVIRONMENTAL Weekly CHAIN of CUSTODY <br /> _ Laboratory Copy (1 of 3) <br /> M111130007:04/05/2004 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: Clark Well Inc. <br /> Address: 2024 E. Charter Way O <br /> Stockton,CA 95205 <br /> o <br /> Phone: (209)462-7616 Pax: (209)162 5597a <br /> Contact Person: Mike Clark rj o <br /> Project Name: Nmr I o <br /> O y a K <br /> Purchase Order Number: <br /> U W \ <br /> �pler(s) <br /> n U p^ m 7 J <br /> o P4 z v <br /> tI � <br /> 9 H r <br /> m <br /> 0 7 O <br /> Compositor Setup Date:_/_/_ Time:_/_ .6 c a 14 <br /> 14 <br /> z <br /> $ z = ? v <br /> Lab Number STK J-2343 `o a aQQ <br /> o p v ^ 1 <br /> Salop Date Time 5 0, <br /> Num <br /> Location Description �ISampled Sampled �u F <br /> 1 12 14 2 a m c <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Reli uis ed Date Time: <br /> ROW <br /> Received By: Date: Time: Received By: ate: Time: i By: Date 'Time: <br /> Corporate Offices b Laboratory Office&Laboratory Field Office <br /> P.O.Box 272 1853 Corporation Street 2500 Stagecoach Road Visalia,California <br /> Santa Paula,CA 93061 0272 Slockmo.CA 95215 TEL (559)734-9473 <br /> TEL: (80x5)392-2000 TEL (209)942-0181 Mobile:(559)7372399 <br /> FAX: (895)5254172 FAX: (209)942-0423 FAX:(559)734-8435 <br />