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CHAIN OF CUSTODY <br /> PRIB .1151[]N E'NV1ROmTECH AND ANALYSIS REQUEST DOCUMENT ] <br /> REPORTSAMPLING 1 1 <br /> CLIENT DETAILS <br /> Rush Analysis: 5 Days _ 2 Days_24hrs <br /> Client: 71 �� C.° y L . &. , Sampler(s): 77�L1�- <br /> Subject to surcharge <br /> Customer Number: V Comp Sampler Set Up Date:— Time: QA/QC report required: yes no <br /> If yes,To: State -Client Other <br /> Address: Time: Mileage: <br /> 70 <br /> Lab number: t 7 '�� <br /> Phone: _ x <br /> A <br /> FAX: o z97 ' <br /> x <br /> o <br /> Project name: 5 F A �V <br /> Contact person 4�. _ ` " <br /> aH z o- z o w �� ` <br /> o Qui W <br /> Sample <br /> SAMPLE INFORMATION <br /> Date Time d g a x O <br /> Dumber Location"Description Sample Sample z w <br /> 2 ~ � - S X <br /> 3OP <br /> � m S X <br /> r2 2 ;35 <br /> CUSTODY <br /> Date3/24Time <br /> Relinquished by: Date Time Received by:� ' <br /> Relinquished by: Date Time Received by: Date Time <br /> Relinquished by: Date Time Received by: r_ Date Time <br /> PRECISION ENVIRO-TECH 2040 E.Harding Way Suite B * Stockton CA 95202*Telephone(209)462-0892*FAX:(209)462-7935 <br /> k, <br />