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1WEEISION ENVIR[]-TECH CI3AIN of CUSTODY <br /> DETAILSCLTENT ANDANALYSIS REQUEST DOCUAMNT m <br /> ■ <br /> ► + . W <br /> m <br /> Client:_ C� } ( Rusb Analysis: 5 Days _ 2 Days��4hrs m <br /> !': ,Sampler(s): OAdra �G! Q i+1 _ � <br /> Customer Number: Subject to surcharge <br /> �' �� <br /> Comp Sampler Saler Set Up Date:_ Time: `n <br /> Address:_3��J Ft n S <br /> QA/QC report required: yes >70 <br /> � w � Time: Mileage: If yes, To: State Client Other <br /> CD <br /> Lab number: 1� _ LO <br /> Phone:` l`3� 5131, -3 <br /> W <br /> A <br /> U c U7 <br /> W <br /> FAX: -- <br /> .3 A A <br /> U a m }y ti <br /> +� <br /> Project name: O—A L 4 m C61) Pei 00 <br /> Contact <br /> PersDn� Tom` I S �[ <br /> 121 <br /> I ~ o <br /> Samplev; 3 0 <br /> a <br /> Number Location Description este Time � y E <br /> J Sample <br /> iSample z <br /> YY Q <br /> 3 jM ��� U o <br /> 110 M �j <br /> D <br /> V_ 2 a <br /> MW - Z- 20 Z, 11111 r7n <br /> oo G s <br /> .3a n <br /> Relinquished by_ / <br /> U f // D <br /> �1IDel��LaReceived by: G) <br /> Relinquished by. Date Time M <br /> Date Tuna <br /> Relinquished by Receir-ed by: Date Time m <br /> Date Time Received by: F— <br /> PRECISION ENVIRO-TECI3 545 E. Cleveland,St.Suite A Stoekton CA 9 204$Telephone(209)462-4892�`FAX: (2�9t Time <br /> 62 7935 <br />