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CLIENT CHAIN OF CUSTODY RECORD <br /> NAME ttii til p'f REQUEST FOR ANALYSISWright <br /> (209) 833-0758 <br /> ADDRESS (% DATE 3 0 a o Fax(209) 832-5152 <br /> f CA PAGE.-_---L OF / Environmental 4220 Commercial Dr , #5 <br /> PHONE NO Zd $ -3 to 151-1 FAX NO W!V tr32 -57 L <br /> PROJECT NAME T✓a-e.�,., � -5f Services, Inc. Tracy, CA 95376 <br /> SEND fiEPORT TO 'Zo v,,, L`iyLC tip ,, ..__� <br /> TURN AROUND TIME ANALYSES REQUIRED <br /> AMPLER NAME/SIGNATURE NORMAL <br /> RUSHLn S Q <br /> ❑ N N <br /> SAMPLE SAMPLING PRESER CONTAINER SAMPLE DESCRIPTION rJ <br /> NUMBER DATEITME VATIVE SIZE/TYPE WATER SOIL OTHER <br /> a -Z - 5Ezz.-' )+U / HocjD <br /> i3 -3 - 2 ,c /0 r� <br /> [wal He LIC <br /> 15-544 20 12-5 /' / / HOUO <br /> ~6 z.6 l0 08301 <br /> �-1 <br /> COMMENTS PICA Sc 7 L 7PO 4 A 50 C r-Jl Mc, M TI;E «.end axr�e44owtj� 7? eA04--t aw�f <br /> r r?AY t tA,4_t A t �mow►+cL e a te - g0L.0 5aA,-r LUO <br /> Ra ng shed not e) 3ey` Received by (Signature) Date Relinquished by (Signature) Date ceived by ignature), Date <br /> [ jl(f(j 13loD <br /> Company Time Company Time Company Time Company Time <br /> /0r 3 p <br />