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N <br /> w <br /> 0 <br /> 1435 W Sur�6616lvd 90116 A w <br /> Q �Exc 6m RocilknCA 95766 CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST o <br /> Environmental Labs Ph:0&sa3 aaas FX:g1$•5d3•4449 <br /> o pnojecl Manager Dan Crawdwd P UR0e 661-24B-9109 Eleclromic Data oeiiverables Requesi: Email Address' <br /> A c <br /> h .ppF dan el.craWl rd dteen r .c m s <br /> Gealracker;eaew�, man,nvdam4�dleeneraV.Com � ro <br /> CgmwlAwrou;OTE WOW.LLC.2526 W Washinglon Fax 2*320-M5 Other(pwwiwiyl dan,el h,ldebrandOcteeneraV.com � 5 <br /> 9,..Stxkton,CA 95283 ktfrt.Ghn5t n t ?n corn o ._ <br /> ANALYSIS REQUEST NON-STANDARD Page 1 1 <br /> Protan Numtrar'PUPCMASE ORDER 04701180998 I'Mocl NameAsh 1: <br /> � d <br /> _ Due Date. y A <br /> Projecl Location:DTE 5tocalon Plant Sarnoer Signature: <br /> I80600b wark Q d6r: <br /> o � <br /> Sampling Centa�nerpreserved Matrix <br /> a 6t l31N <br /> c w Sample ff f c 1 s <br /> ID <br /> 8 0 �, Rate Time a 8 m r ° w <br /> y J <br /> .r QLAO USE � <br /> t<i 2 g 3 tE owy: h <br /> W BA CT 2 sa'zats 7,30 Ix X Ix Ix X K <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: Cale Time Receive bye RemarMondltion of Sample: Bonom Ash CT less <br /> "M'j <br /> Relinqu Date T me Received by Lapafatory: > <br /> Bill Tp: P <br /> � <br /> nk U) <br /> N <br /> E Q <br /> a 1 2 <br /> a ; i <br /> x � U <br /> _ o <br /> U C6 <br /> W o 1 U J <br /> A cv cn x <br /> W <br />