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qHAIN OF CUSTODY RECOR <br /> PACIFIC OAS AND ELECTRIC COMPANY N° 0136 <br /> CROW C"I"ROAD <br /> , CAUPORNIA 94M <br /> SAMPLERS: rSignatunl <br /> FE <br /> Phone: — <br /> SHIP TO: SHIPPING INFORMATION: <br /> &A)0 jz>u4Tt:2 T <br /> kc,4VO Shipper <br /> D Address <br /> � GoY2D �� Date Shipped <br /> Shipment Service <br /> ATTENTION: Airbiil No. Cooler No. <br /> Phone N9_ 15�_67 —Q 3 <br /> s <br /> { <br /> Reliefjoshed J( - <br /> it Received by:(sonetWe) D to Time' <br /> Relinquished ato Received by: (5ignatun) Date Time <br /> Relinquished nature by: (signature)g ) Received by:(Spnature) Date Time <br /> Relinquished by: (signature) Received for laboratory by': (Signature) Date Time <br /> 'Analysis laboratory should complete,"Sample Condition Upon Receipt,"section below,sign and return top copy to <br /> PACIFIC (3AS AND,ELECTRIC COMPANY.3400 CRCYW CANYON ROAD, S/Nd RAMON GWFORNIA 94583 <br /> Sample Mo/Sample Date Analysis Sample Condition <br /> Number Identification Sampled Requested Upon Receipt <br /> TRI'► ow- <br /> 1 zr � _ I (D <br /> _r z- ( � 71 <br /> z — C- <br /> J. 07 <br /> �z 74 <br /> per_ 1 7 z. <br /> r <br /> 0-7 r] <br /> 3 (, o�g <br /> 3 1 IA <br /> zr (po7 � <br /> W- <br /> 74c <br /> �( o <br /> 16 e <br /> WHITE—Samprlr CANARY— PACIFIC GAS AND ELECTRIC COMPANY <br /> ' <br /> =001=0=583 <br /> wo CROW CAMrOq NOAD PINK—Lab Courtesy Copy <br /> BA7Y M 001 CALIFONAl1A W1583 <br />