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Peron TM ©o ulcer <br />Analytical Laboratory <br />3933 N. Coronado Ave, Stocktnn CA. 93104 Pbone: (209) 477-8103 <br />CHAIN OF CUSTODY <br />Page 1 of <br />Work Order No 7062220 <br />[kat Namect <br />California Tank Linestwesua <br />ktatr'<CecNs_ »•=N'astr Nate <br />� game <br />iPerWeek <br />oa�.estc atyses <br />F ne9aeerrent <br />wn tan <br />i <br />= <br />:7 <br />r <br />C <br />+D <br />�. <br />C <br />U., FE, LI <br />Geo:ratktr I I <br />otYquplo l <br />push*eq—ts suA ut tc <br />aditVialttrarg. <br />-s�repceus tubccT to Lb <br />app,—i <br />Clem Contact <br />Jack Bishop <br />Prgett Number <br />CTL <br />Aod,ess <br />3105 S. EI Dorado St <br />ro u fteutptkr <br />X <br />[`dptC <br />nen Larn <br />State Specify 11 <br />City <br />Stockton <br />PO K% - Der <br />smtefp <br />CA, 95206 <br />Sh�red Of <br />Specify: <br />standwd{dalsl <br />Fhcre Fax <br />(209) 466-6324 (209) 466-3046 <br />Matrix <br />yowl 0 <br />ErPed:ed ldtts} <br />crennd Iv <br />Sedk+tem ❑ other I! <br />sar..pinr Ampin9Bvm <br />te <br />vatsS'e II � sal 1. <br />SY+xm ID <br />Due Date <br />fj ri � <br />• es=rcnlmn , me <br />Laboratory Work Order No. / ID <br />Sampled Date <br />Sai—r ,d Time <br />Sade Ttrt <br />Code <br />rude <br />C«.rt <br />142 <br />2 <br />mnk Ccrnilcn temp ab.re <br />LabDwwV'Notk Ode W. <br />Sample O <br />Final Disharge at Sample Spigot <br />Z 1 <br />: Yo /( <br />G <br />Final Discharge at Sample Spigot <br />�: - <br />G <br />I <br />1 <br />Final Discharge at Sample Spigot <br />o <br />i M <br />G <br />I <br />1 <br />Final Discharge at Sample Spigot <br />G <br />1 <br />Composite of 4 Grab Sample Above <br />C -G <br />1 <br />II <br />Pm— 2•Md WS01 to P+Ic2,1 Store taei at dY <br />Cant. CdbAl Ambts-x2504 V <br />