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r ^' G <br /> N N y <br /> Excelchem 1135 W.Sunset Blvd.Suite o m <br /> o Rocklin.CA 95765 CHAIN-DF-CUSTODY RECORD AND ANALYSIS REQUEST <br /> v Environmental Labs ph:916-64&4445 Fx:916-5434449 y o <br /> .; Projeel Manager.Dan Crawtad Ptwne 4,661.246.9109 Electronic Data Deliverables Request: Email Address: ° r <br /> a .PDF Daniel.Crawford fteener .com W <br /> D Geotrackertca of Prahlad.Krishna@dteeneroy.cc <br /> rn w CompanylAddress:DTE Stockton,I.I.C.2526 W-Washington Fax k:209.320%3735 Other mom caoodo Marv.Nydam@dteenargy.com <br /> St.,Stoftn,CA 95203 Kurt.Christiari@dteenerqv.com <br /> ANALYSIS REQUEST NON-STANDARD Page_1 1 <br /> Project Number/PURCHASE ORDER ProieetName:Ash 6nk; <br /> #4701052861 <br /> Due Data: <br /> Project Location:DTE Stockton Plant 5amp1er5ign re: i <br /> 1709102 <br /> ZIorder: <br /> Sampling Container Method Matrix o !i[n_ Dent.11 3 b b b <br /> Preserved a u o 0 0 <br /> CQ T0M y N �° 0 OIs <br /> Sample z m a .0 r; <br /> PO m m <br /> ID a aao � fl � Ta x CCD <br /> Date Time m 6 >' r 'o E ar n 5 <br /> a 0 0 r ,� a 3 ¢ azo m IrJ <br /> J <br /> o ¢ m F np E g £ <br /> y E O y a z F N o ' .�' O a m o U Q f LAB USE C <br /> E z m £ F' z 0 ¢ 'a 0 r 3 o a m m m r¢ <br /> y ¢ ro x z °a T = z 3 m u� U N tt N o a (7 c� U ❑ [] U o ONLY: d o y C <br /> n Truck#2 <br /> Sample 9020t75•',S0 x xxx ][ x ][ Xxxxxxx <br /> s 5 Truck#5 0 <br /> y � <br /> Sample x xxxx[ xXxxxxLxxx E• <br /> y ry <br /> A <br /> R � <br /> � A <br /> r <br /> C 5 <br /> a � <br /> � A <br /> Relinquished by. Date Time Received by: RemarWCondition of Sample: <br /> A <br /> s Relinquished by Date Time Received by Laboratory: <br /> � Bill To: <br /> N N <br /> �. O <br /> Q <br /> J <br /> W <br /> ro w a <br /> ao <br /> N t 1 <br /> 0 <br /> ro <br /> N <br />