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MMMMMMMMMMMMMMMMIrm <br /> Precision V <br /> Tech port of Stock Chain Of Custody Record <br /> 545 East Cleveland Street,Suite A Send Invoice to <br /> Stockton CA 95204 Pott of Stockton r' I� f� <br /> (209)462 0892 Department of Environment and Regulatory Affairs DATE <br /> FAX(209)462 7935 P 0 Box 2089 <br /> Stockton,CA 95201-2089 PAGE of <br /> Atfn Jay Jahangir FE126 <br /> 9q—O' 1-6 <br /> 01 <br /> SITE ADDRESS(Ov"tend Clgr) I tD U <br /> t- <br /> WGR Southwest,Inc <br /> eooRrss Port of Stockton USF Site No 3 <br /> 315 W Pine Street,Suds 1A PROJECT CONTACT(POW tn) John Terayskls CONSULTANT PROJECT NO <br /> My 1,u�'C" C <br /> Lodi,California 95240 SAMURNAME(5)(MM) LA9115$pNfY <br /> T$F3K36 E. F:Ax E— <br /> (209)334 5363 (209)334-5374 lberayslds4Mgraw Dom l�i✓ � <br /> 1LRiNArtOUND 7ID+E(BUSINESS DAYS) <br /> p 10 DAYS ® s DAYS 1172 HOURS ❑4a HOURS ❑24 HOURS p LESS TW 24 HOURS REQUESTED ANALYSIS <br /> FIELD NOTES <br /> SPECIAL INSTRUCTIONS OR NOTES TEWEtATURE ON RECE1111 Cl _ ContalnerlPneservadve <br /> or PID Readings <br /> or Laboratory Notes <br /> e <br /> c <br /> m <br /> a � <br /> Field Sample Identification saI�LINc rArRnc OF <br /> DATE TIME <br /> r MW 3-1 " 11 Aq 2 x x <br /> MW 3.2 j C� Aq 2 x x <br /> MW 3-3 Aq 2 x x <br /> Container List!Sample <br /> 2 40-ml VOA vials <br /> iteidpisMtl ( hr Receivedty(SWUhre) Dale Time <br /> RAlplishedhy(SlQutva) Received by(Signekae) Date <br /> RekgAhedby(81gnehra) Received by(Signahue) Date Time <br /> 0tS3R16UTJOM Webe wRh emdfepon,Rreen to He Yeiaw and Plftkto CAW 7023100 Revislan <br /> l <br /> 8 <br />