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5W Otuwppe Court,Suite 9 <br /> Exc&CM <br /> IZmville,Ca 95678 CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br /> Environmental labs (916)773-3664 <br /> P€"I Manager Phone <br /> l �i� ✓✓��� 916 —d4g3-3�I`a� ANALYSIS REQUEST 7?(0 Z TAT <br /> Company/Address 57/ q FAX# WET <br /> IPI-1 26 a` c j < -E_. TOTAL(ry 3 <br /> r r <br /> Project Number P 0# Project Name L) _a t o <br /> to nco <br /> Project LocationSEgnatu a <br /> SP,O-K77900 <br /> Y r O 1(} LL N V r 0 N U <br /> N � c > <br /> Sample <br /> Sampling Container preserved Matrix y 5 � 01 <br /> Method ' e n o a o o ; a <br /> m U. C7 O N +n V !� U _ r` N M LU crT a6 LL cr <br /> ++ fA U O a7 m '� °� U_ r O N A W F <br /> ID D j H m I1 0 0 _ O o o n 'n mo o N N z '_ a` a rn p <br /> DATE TIME Q w a Z x ca O z cO ca co co co co co o V W Z <br /> 3 s w w w x x g a a a a a Q a �c a us a < <br /> * Cn -J _ `� i U) m m r �-° ° www uai w w w O ¢ U w � x F- <br /> r r <br /> U W <br /> 4P-2-is' 7 74 o <br /> —t4 <br /> P-2- <br /> �S _�� i X <br /> F[P -3 -3 <br /> it z <br /> t4: <br /> Re h shed by to Time Received by �l ` � Remarks Got( qday - VY <br /> 3,3,5)y &,4.-e <br /> Att 56 5 • t1r1P/` <br /> /rets 6'LLs d)t- <br /> Relrrqutshed by Date Time Received by 4[6 6`7?�3QS5" K� 8;eD <br /> -JCA Ab, W--Z. <br /> S vo P-3 <br /> Relinquished by Date Time Received by Laboratory Bill To 4 Na.�rco,ln s+w� �of�+n.� - Ja bot <br /> J0'1 <br /> 7 <br />