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500 Giuseppe Court,Suite 3 - <br /> Exce em <br /> Roseville,CA 95678 CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br /> EnvizonmentM I ahS _ —Gh 01 2-36 <br /> Project Manager Phone# Electronic Data Deliverables Request <br /> Joe Ramage (916)354-3250 Email Address <br /> Company/Address Fax# <br /> Ramage Environmental (916)354-1787 <br /> Project Location Project Name ANALYSIS REQUEST Pae of <br /> 2222 E Weber Ave , Stockton SJ County Courthouse wet <br /> Electronic Data Deliverables Request �, (U <br /> Global I D # T0607700470 Email Address doulosenv comcast net - � N o Total <br /> co <br /> Q N a0�6 m 0.1 C <br /> aVj N O NO <br /> O M 41 r N m N -0 U <br /> co <br /> Method c° w Q a c� m o p Y CL r <br /> Sampling Container Matrix 0 7 �, 2 C 0 CD <br /> Preserved o f 2 Q m 0. m N a � N <br /> vCIO In Q7 CD M ESample <br /> E r <br /> m ma o — S 6 o0 <br /> M Ni <br /> X m ` ° = ° cfD m XDate Time m WU p p wt ? w <br /> ai <br /> S 00 CL CO N Z <br /> g co w W X w m O v c > LL w rn rn m �, �, ; <br /> Q w C7 E O z >- J Itl 2 m o o E U m <br /> O g U z LLiU 0 ¢ 0 ¢ H a a o m °' E m 0 m 0 a a� m m r <br /> C0 r a rn 2 z z cn ¢ m F H H 4 0 U m > ,ra h. 2 g z' U ¢ <br /> XlX <br /> w- a <br /> Reli uished b Date ;Timeceived by Remarks/Condition of Sample <br /> relinquished by Date Time Received by Laboratory <br /> Bill To <br />