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C��C�lii�"J 4946 Watt Avenue, 138 <br /> North Highlands, CA 95660 CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br /> Environmental Labs (916)334-8661 <br /> Project Manager: Phone#: <br /> ��� G2YFN yrs Z-�r9 / ANALYSIS REQUEST TAT <br /> Company/Address: FAX Jt: W.E.T.tri <br /> U P6 T )5/vI//? Cpyr- ys�_ Zg`1 z a TOTAL(rl <br /> Project Number: P.O.#: Project Name: LC <br /> 47 V <br /> 04 Z <br /> a <br /> N <br /> u; o <br /> Project Location: Sampler Signature, m` � a <br /> ui o m <br /> s'TaG;$T��yo � 0 H n NU _U <br /> 5 U7 CM <br /> m M y m y S (�I =, `! <br /> CV 0 <br /> Sampling Container Method Matrix o `� �, m -W ca m a o Q Q CL d o o w o _ u n <br /> loample Preserved N o 4 0 to N N 1 U > O <br /> w <n U o d c6 cd LL ao W m � co w U 0 N a W <br /> ID � N `O H m - O o 0 0 �' o c'v N z ? Q a U p <br /> DATE TIME Q -J a Z �_ x aZ � O �, t iD w (n (v cc w w ¢ ; Q X u�J Z <br /> O -� C7 a . U z ) O a 0 Fw- 0. 0 o co CL a a ix a 0. Q M 0 Q Q � zs � D_ Q <br /> a cn � r X _ z � N co m E w w w w w w w Q X 0 w � v � w c~i) <br /> 11 <br /> 'SP- � r �• is i� >< � <br /> 3 <br /> 6 , <br /> FM <br /> i <br /> Relinquished by: D to Time Received by: Remarks: <br /> Aa�ol TVi4�, elle-1-0 ch/a -AAAI aj AW, «v W/ <br /> Relinquished by Date Time Received by: <br /> Relinquished byate Time Received by Labor ry: Bill To: 334 <br /> 2 fL 1Z:qor�— c* ��� Z <br />