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N <br /> w <br /> 0 <br /> 1 <br /> oq <br /> I+35 W.Sunael Old.Suite A w <br /> a <br /> ScelchemPmkkCA95M CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST o <br /> Environmental Labs Phi 918.643.4W6 F><:910•643.4448 <br /> N Prgpcl Managw:Dan Crawford Phone#:661.246.9109 tIwronic Data Deliverables Request; Email Address: <br /> Ca o <br /> .PRF daniel,rr_rawlord�dteeneray.cam s �, <br /> t'aeoir&ckerir�e.�at ma .n am�dteener ,com ro <br /> CompanyIAMad:DTE SMkton,ILC,2626A Wash1W Fax w;209420-3735 Olhef awxwwvs _ daniel,h,kiebrand(odle9neray.4om 5 <br /> Si-,St*Mon.CA 85203 kud.christian 6 dteenc rqy.wm o .� <br /> ANALYSIS REQUEST NON-STANDARD Page.1 1 <br /> Protect Numbed P ukHASE ORDER#470118099$ Pro I Name- Ann an+: a o <br /> o <br /> Due Date; ° o <br /> Project Location:DTE Sloddon Pram Simper S,gna,ur0. Work Ord&: <br /> 1802125 <br /> c o <br /> Met o <br /> N O � <br /> i 3 <br /> Sampling Container Preserved Matrix I I I $ <br /> ea ° <br /> w Sample <br /> °° ID Data Time o m $ a <br /> o u <br /> v <br /> ¢ tea g r <br /> ORY: <br /> W BA CT 4 r+Yznre 4:19 X X X Ix JX I X <br /> � Z � <br /> y .. <br /> V U U U <br /> GJ 4J 4J <br /> W O O O <br /> Ra Ra Ra <br /> Relinquished by, Date Time Received by: Remarkstudition of Sample: Botlorn Ash CT last <br /> Retinquished by: Dale Time Received by Laboralory: <br /> Bill T4: <br /> 6/1 <br /> U) <br /> E cl <br /> aso2 <br /> a ; i <br /> x � u <br /> _ <br /> o o <br /> U C6 <br /> w o v J <br /> [� CAO — { V <br /> Q N V] ll iC <br /> w <br />