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1046 Olive Drive,Suite 3 916.753.9500 <br /> WealeriiEmlronmental Davis,CA.95616 FAX#:916.753.609f CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br /> science d Technology LAB#:916-757.4650 <br /> Project Manager: Phone#: <br /> ANALYSIS REQUEST TAT <br /> Compan;/Address: FAX M W.E. <br /> ?..� } 1 - TOTAL(.�} <br /> Project Number: P.O.#: <br /> j Projed Name: ,. U <br /> .2213, Ir Cd v <br /> +- 001 3 <br /> Project Location: Sampler Signature: $ m N ; C g o : N <br /> } ' n o `; M n t w Ur <br /> f(f} tf) CC Ho <br /> M cc <br /> v cv N1 N U U <br /> Method r:; o a Cd � a © � � �° N z U <br /> % Sampling LU <br /> Container Matrix o m y o o d w co <br /> Jample Preserved a m c� ;� o $ N N `� I K r� a Ul CC <br /> ID UJW2z � "' - fan � � " � Ca��l ar- a <br /> DATE TIME a w y 8 z w x o ° _ 8 m m Z c^�i O (j w z <br /> CL <br /> p -i 0 0. U z 0 a 0 M ix o o a 0. a a s io M aa� a a 16 {'} CO <br /> e rn -J _J a = _ z . 3 cn co ca r � w w w w w w w 0 a U w _J v ct rn <br /> ' — - - <br /> i ; < < .�, .y 1. ' / <br /> J .,li � tr 7 •. ] � I � � <br /> Reil Dished by: Date Time Received by: Remarks: <br /> Relinquished b ----Da1T---TlMLr- -- --Received.by: <br /> 'Felin uished b 1-: <br /> q Y a e Time. Received by i atinratoiy: � Bill To: <br />