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EXCe1C e11<'1 500 Giuseppe Court,Suite 3 <br /> Roseville,CA 95678 CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br /> Environmental Labs Ph 916-773-3664 FX 916-773-4784 <br /> Project Manager Phone# Electronic Data Deliverables Request <br /> Joe Ramage (916) 354-3250 Email Address <br /> Company/Address Fax# <br /> Ramage Environmental (916) 354-1787 <br /> Project Location Project Name ANALYSIS REQUEST Pae of <br /> 392 S Moffat, Manteca Fmr AG Comm Office <br /> wit <br /> Electronic Data Deliverables Request ,� m Y <br /> Global I D #T0607700235 <br /> Email Address doTu-losenv comcast 0 <br /> � Totalnet o <br /> m <br /> 3 L <br /> o ` co <br /> O aQ•o co E <br /> co m w m t c C <br /> 0 <br /> o r M .= m m v U 00 <br /> r <br /> Sampling Container Method S° 5 a- u � a o y Y a <br /> p g Preserved Matrix ¢ °0 N W N <br /> Fw ap a m W o C�} d t <br /> Sample (D m � 2 o � N 8 "' E � N <br /> � O N WO O N a,0 aND r y p� O a I— <br /> ID <br /> Date Time cn o aCD <br /> — N o v LL �' N y ^_ FQ- <br /> Lu v7 F m ❑ O v o m 0 3 °° o a c`�i u u u z <br /> W E M W W ?{ N ca U U C c � LL W m T CO m y 0 N ai m <br /> JULu <br /> G/7?/o�ID;3s [A >rt Z ado L O ma m m d L <br /> LLIy <br /> a U Q m O <br /> O Z UN <br /> x X <br /> I <br /> Reh quashed y Date Time Received by emarks/Condition of Sample <br /> a ys <br /> elinquished by Ciate Time Received by Laboratory <br /> Bill To <br />