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p" UP WM 001 ON 101111111111111, 11111M <br /> b:m - Broa tree <br /> EXCeiC Eureka,CA 95501 AFN-OF-CUSTODY RECORD AND ANALYSIS REQUO <br /> Environmental Labs Ph 707-444-0120 Fx 707-444-0560 <br /> Project Manager Phone# Electronic Data Deliverables u s u <br /> Joe Ramage (916) 354-3250 Global I p # 8 C d 17 - $1 Email Address <br /> Company/Address Fax# COC # <br /> Ramage Environmental (916) 354-1787 Location I D# <br /> Project LocationProject Name ANALYSIS REQUEST Page <br /> Pae of <br /> 1810 Hazelton, Stockton SJ County Motor Pool <br /> Wet Bin# <br /> Electronic Data Deliverables Request <br /> Global I D #T0607799494Email Address doulasenv camcast net o o v Total r Due a e <br /> Project Location Samler signa ure N � C <br /> D 'a N L <br /> C� w m c l <br /> co <br /> o L) t VW4 +Wx <br /> Sampling Container Method Matrix g a "' a N N <br /> Preserved o m `=-' ; m o W U m N 0��� <br /> 10 <br /> Sample C1.1 0 N � z <br /> N Q <br /> ID u- <br /> Date Time w g F acc p p °� a 0 = m o 0 � a <br /> w ca Cl) w w w c� O o w v7 y <br /> W m S S m Uc L U <br /> O g U z w 0 ¢ O m ► a a o ami U 0 0 c° i° Cr LAB USE <br /> > cn r o z = O z gy m ¢ m i-- o- o_ 5 �n 2 � 010 U aC ONLY F <br /> 1XI X11 V1 toq&1 <br /> Qn-y(013 <br /> +N-3 t <br /> T/0 <br /> Y /o:.30 615 <br /> If <br /> I f <br /> Reli quished Date Time Received by Remarks/Condition of Sample <br /> 7 <br /> S/7-q I rr (w <br /> elinquished by Date Time Received by <br /> Relinquished by Date Time Received by Laborat Bdl To <br /> It 4 2:. 67- <br />