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CITY OF STOCKTON MUNICIPAL UTILITIES DEPARTMENT <br /> Custody Transfer Recordf Lab Analyses Request _ <br /> N <br /> Write in shaded;areas only pat® /7. —J - 96 page of 1 I <br /> • N <br /> Section. 94'_ Sampler IO: ANALYSES REQUESTED BattleGi.oCtw.L(r.,c� <br /> Loft m <br /> Account e. Report to <br /> (TA) to <br /> m <br /> Lab ID or <br /> Sample Location !Description 1 10 P Ss. Corti Vol G Sa Time Pres. for <br /> Tyr. Type C Oale Call. C.L. ,p <br /> 0 <br /> — NES / cv0 /� G 124'?X OQso knv � mdbSol3 a <br /> { <br /> / Speual Instructions: AO �Ald`-f O f/KOC s <br /> mss. sp••-.��'�� Evidence Tape: Present on ample Y oT N1 / <br /> Unbroken on samples? Y ori 1 <br /> Samples were received in good conditlanY or N <br /> Released by Received by Date Time Released by Received by Date Time <br /> aw ',ch -a5 016 <br /> conlainer Type. P -Plastic G-Glass n -Amber V-VOA Container Volume: L-Lilar G•Gallon P-Priority: 1: S worMnp days 2; 10 days 3: t S days <br /> Sa Type. W-Water W W•Wastewaler S-Sludge X-Other GIG: C-Composile G-Grab a M: Cd,Cr,Cu,Ni, Pb,Zn 'P <br /> MITE fib CANARY-Lob 1 RSM- Lab 2 GOLDENROO-Sampler <br /> rev 0/3693 TH NP:UFORNS CTR <br />