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N <br /> w <br /> 0 <br /> X G l C�1 f11 1135 W.Sunni BNd Sulto A <br /> M 1 "1 Rock k CA 8579,$ CHAIN-0F-CUSTODY RECORD AND ANALYSIS REQUEST o <br /> N <br /> Environmental Labs Pn:918.5434445 FX_91&5n3anag -Z <br /> Q N Pr <br /> Manager 02-,Crawford Phone#:8g1-24&.9103 Ektronic Data Deliverables Request: Email Address: <br /> X ,PD5 oanlel,crawlord#dteanergyr n <br /> Gapirsckeriw�o.i a; mary.n2dain4dtaeneray,com w <br /> Comy�Addrow OTE Slockten,LLC.2526 Uv Wash now Fur 1:2e9.326.3i35 ^Dthgi,aew�w.+�y} daniel-hill brand0dteener . m 5 <br /> pao <br /> St„5tocttto+l,CA 96203 kurl.ChTlshan ddlepner .Coal o . <br /> ANALYSIS REQUEST NON-STANDARD Pogo-1 1 <br /> o <br /> +7rgeCt fVumberl PCIRCHA5E ORDER#4701180998 pN400 Nnme: AO <br /> Due Dwo; ° <br /> _ 5 h <br /> Prgert Location:DTE SbcWn%nt SOM06r Signature: <br /> Work Ord®r: ° a <br /> o <br /> eta'° Q 1802100 <br /> Sampling Container Preserved Alatrix <br /> a i1ljlll oN <br /> o Sample DIN_ >r�,l,i <br /> N <br /> w <br /> G � � <br /> u ID Date Time aa} g$ {{ o <br /> d L A qE w W c LAB USE o <br /> ONLY: h <br /> W A CT Q 2,N2QIb 4:151 x K K X X x <br /> y .. <br /> Z <br /> V U U U <br /> GJ 4J 4J <br /> W b O O <br /> Ra Ra Ra <br /> r <br /> Relinquished by.- Date Time Received by: Remaeks/Condition of Sample' -Rottorr Ash CT test <br /> Relinquishad by; Date Time Racsi d by r aboralory: <br /> Bill TO. i c <br /> E <br /> aso 2 <br /> a <br /> _ o <br /> 0 o U C6 <br /> W o i J <br /> u <br /> A cv cn x <br />