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N <br /> w <br /> 0 <br /> r <br /> U O xce c he m 1135 W.Sunset Blvd.8ulle A w <br /> Rocklln,CA 95765 CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST o <br /> Environmental Labs Ph;9+6,5a3,4445 Fm:916.543,4449 <br /> � Prpj9cl Manager.Qan Crawford Phone 661-246,9 10 Electronic Dain Deliverables Pequesk: Email Address: <br /> A �x .PDF daniel.cr,,twford@dEeenemy.com s <br /> G®olrackerfampi iol mary,nyd am�draenerov c� <br /> CompsmylAdarass:✓?rE Slocklon,LLC,2528 W Washinglon Fax A:20M20.3135 Iher iNws;av b). daniel.hildebrand6dleenernV,c.Om. � 5 <br /> SI..Stockton,CA 95203 kud.chrisfarl 4 dteeT)e rgy.cam <br /> ANALYSIS REQUEST NON-STANDARD Pae 1 1 <br /> 9inR: a o <br /> Prow NumtxerrPURCHASE O1{aER 4470118099$ Prti�ed Name:Ash � <br /> Due Rale: y h <br /> Z <br /> PrIg9Ctl4coli4n,t}TE$IpCkrnnPlpnl 5arnpie+Sgnalure; � � <br /> W6rN Ord9n t <br /> ds � <br /> Sampling Container Preserved Matrix 1805U97 <br /> ea .t <br /> a oN <br /> Sample s <br /> 2 <br /> 2 ID <br /> 00 Dale Time <br /> y d ='H2 A 5 s w z ' LARUSC d ° <br /> ONLY: h <br /> W CFA CT 2 v7ih8 6,20 1 1 IX IX IX IX IX I I JX <br /> U <br /> I <br /> v z � <br /> y .. <br /> V U U U <br /> GJ 4J 4J <br /> W O O O <br /> Ra W P-i <br /> Relinquished by,. Date Time Received by: RemarkslCondition of Sample: Fly Ash CT test <br /> Rall Cate ft87ived by Laboratory. <br /> ill To: <br /> E <br /> a s o C <br /> a ; i <br /> x � U <br /> _ o <br /> o O U C6 <br /> J <br /> H CA o U <br /> A cv cn x <br /> W <br />