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Air <br /> T 1046 01i Drive,Suite 926 753-9500 • ' CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br /> Weslem Environmenlar - Davis, CA 95616 FAX#:916-753-6091 - - -- <br /> Science&Technoiosr - - LAB#:916-757-4650 - - - - <br /> Project Manager: Phone#: <br /> 372,- 3`f ANALYSIS REQUEST TAT <br /> Company/Address: FAX M. W.E.T. <br /> TaTAt.t� Y <br /> Project Number: P.O.#: Project Name: o T r o <br /> N tj <br /> W N <br /> Project Location: Sampler Signature: N v CV <br /> Ln N U <br />'f DCL /��, m u m cv <br /> _ '� Cr W- <br /> i Method 0 0- � v "' � a a " a N Z i n n <br /> 'Sampling Container Matrix o N w � y' o a o o d o o ,a„ o � � a C > <br /> Sample Preserved aro :U- o �' 2 N N J - o N ¢ LU .r <br /> A m cp aD W� .aD U 'O N. .a w <br /> w v a n a nl �n 8 CO v M } r' .. d- Q <br /> DATE TIME � J N , � w. � � x � ce O � _ co m to (0 � (0 � � "� a o U z w Z <br /> a ►u �„ z w w = a a a a a a a m M a cn CL a <br /> p C7 rl U z O a O N �- a a o cm a a a m it m a rl a s a X F- <br /> U <br /> rn w w U <br /> w <br /> rn � x = _. z cn m f- w w w• O 0[ <br /> � � � m F F w w U" u1 U3 <br /> I't hAL0 4 C 3-11-96 <br /> s -Z <br /> B la <br /> Relinquished by: Date Tiitie Recei ed b . Rt=markS <br /> Relinquished by Date Time Receivdb : <br /> Mn <br /> hed b Date Time Received by Laboratory: Bill To: <br /> �5 o b Kc� <br />