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Excelch oo Roseville,CA 95678te 3 CH F-CUSTODY RECORD AND ANALYSIS REQUES4 <br /> Environmental La s Ph 916-773-3664 Fx 916-773 4784 <br /> Project Manager Phone# I Electronic Data Deliverables��' <br /> _ <br /> Joe Ramage (916) 354-3250 ,r f Email Address <br /> Company/Address Fax# g 0 <br /> Ramage Environmental (916)354-1787 <br /> Project Location Project Name <br /> Harding & Cemetry, Stockton SJ Catholic Cemetery ANALYSIS REQUEST Pae of <br /> Wet 8m# <br /> Electronic Data Deliverables RequestQ0 ALkojiiY <br /> Global I D #T0607700348 Email Address doulosenv comcast net o m Total N Oue'©ate <br /> Project Location Sampler Signature N o 0 0 o L C� ' <br /> cD LO to t co o t <br /> N 2 In m E m m c <br /> cp ca o m w c) 'r' Y= U i W a v <br /> 61 M - n "O N <br /> Sampling Container Method Matrix o ,E m m o o y E N <br /> Preserved <br /> N ED c x z Q <br /> Sample a W c3 2 � °� m _ g <br /> WN - N N W "� N X LL Q7 N <br /> � 2 oty oo N — 4 cp <br /> ID Date Time w <br /> (not U a o O —_ 6 O T a z '2 <br /> > ~ m w w )< m 0 _O LL I w a � m 7 <br /> d w (7 g 0 w z ¢ J o± w S 2 m m N V m 0 r E 6 LAB USE <br /> O J U z O O H a a o U m 0 n ID Q m �' r m <br /> rn r a v} MIT z cn a I m F Fi-Z a a > 0 U U 1 z 1 0 ONLY <br /> I V, <br /> IVX31 <br /> lc t cv 112 ' <br /> K"3 'a <br /> LV ` O'�3 <br /> V <br /> Relin fished by Date Time Received by Remarks/Condition of Sample <br /> i <br /> efinquis ed Date Time Received by <br /> Relinquished by Date Time Received by Laboratory Bill To <br /> �IVOS Dov <br />