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jot- <br /> lllixc7ellom 506 Giuseppe Court,Suite 3 <br /> Roseville CA 95678 IN-OF-CUSTODY RECORD AND ANALYSIS REQUE <br /> S <br /> Environmental Labs Ph 916-773-3664 Fx 916-773-4784 L <br /> 'Project Manager Phone# Electronic Data Deliverables Request <br /> Joe Ramage (916)354-3260 Email Address <br /> iCompany/Address Fax# b S 2 <br /> Ramage Environmental (916) 354-1787 <br /> Project Location Project Name ANALYSIS REQUEST Pae of <br /> 1810 Hazelton, Stockton SJ County Motor Pool <br /> Wet Sin# <br /> Electronic Data Deliverables Request �; 3 <br /> Globa! I D #T0607799494 Email Address doulosenv Comcast net F m Total coN Due Date <br /> Protect Location Sampler Signature N o a o toLO w <br /> r c.i m o r <br /> N �c S E p�vp m —aai v <br /> ao CL <br /> o 2 <br /> CL) <br /> wCU <br /> Sampling Container Method Matrix � ¢ m m 0 o <br /> Preserved o E o � n w a N o N E v, r <br /> n g _ � y _ _ <br /> co <br /> Sample o a N <br /> D m w s � — .6 ao N _ No is > w U Q - to 0 <br /> Date Time w 0 0 � � a � o _ 0 a 75 a_� � o r a z �, N <br /> w s w �, w w X m LL L w m > <br /> UJ g U Z w 0 a t] H a a o U ai O � m fl ca 43) a w Q w _`- r- (Cr <br /> 1) LAB USE <br /> n a cn z z z U) ¢ m F- a a 7 �n rn v U z U a ONLY <br /> Zli4All IX I 11K I I I I5�i i t 0 I <br /> ty -03 <br /> Y'l <br /> Relinquished b - Date Time Received by Remarks/Condition of Sample <br /> ellnquished by Date Time Received by <br /> Relinquished by Date Time Received by Laboratory Bill To <br /> �f <br />