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r r r r r r r r >< r c r r r r r - r r c <br /> PREF 51ON ENV1R0-TEE `{ CHAIN OF CUSTODY <br /> AAD ANALYSIS REQ VEST DOCU,41ENT <br /> L a <br /> REPORT INFORIVIATIONz <br /> Client: 1� Avt.c�-,&T�- -r �-S S c-C . � Sampler(s): A4.76c Rush Analysis: 5 Dxyr, _2 Days24hrs <br /> Customer Number: <br /> Subject to surcharge <br /> Comp Sampler Set Up Date:_____ Time; QA/QC report required: yes no <br /> Address; 2 f � Time: if yes, To:State Client <br /> Mileage; Cather <br /> CIIA 1��q0 Lab number: `j <br /> Phone: <br /> u � R <br /> FAX; 3� ` - Z��' 3 t -P <br /> sm br, z <br /> w v <br /> Project name: �- g . <br /> _ aaN�� <br /> F G 5C A z z <br /> J & w m <br /> - Contact person: '��� , c. � � � o _ s m o �- <br /> ;� /G�� <br /> z m 3$ jl to- <br /> SAMPLE <br /> " <br /> Sample Date Time <br /> Location Description <br /> Number P Sample Sample <br /> � U <br /> , <br /> fl <br /> Relinquished by: � D a t a kA&)-q Time �3P Received b at �J <br /> ime <br /> Relinquished by. Date Time Received by: ate_ Tuna <br /> Relinquished by; Date Time Rewived by: Date Time <br /> PRECISION ENVGRO-TECH 7743 N, West,Lane, Suite B2 * Stockton CA 95210 *Telephone(209)477.8105 " FAX:(209)477-8148 <br />