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N <br /> w <br /> 0 <br /> xc C e m �'S w S naol Blvd SuHe A <br /> Q Rocklm,CA95M CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST o <br /> Environmental Labs Ph;916 543 4445 Fx.918•$43.4645 Z <br /> Qprggcl Manager Gan Crawford Phone 0'661-24&9109 Electronic Data Deliverables Request; f mail Address; <br /> X. .PDF dbniel�_crawf rd rill r+n�rg oom s <br /> CompiinyA44 sw DTF S=Mon,LLC,2525 W VYWinglon Fax K 209-320-Y35 Other IaNmwp odaniel,hlW&"Llr16rogLer .c�om <br /> St..SWRIon.CA95203 kun.chdgi n qdreerig ray.corn <br /> o ._ <br /> ANALYSIS REQUEST NON-STANDARD Page.1 1 <br /> Proect Nvrb*,PUF�6HAsE oRoEq#4701052861 Praect name:ABh &ON; <br /> Due Date: y o <br /> Project Location:UTE Siockloo Pq,,,,. Sampler Signature: <br /> r Work Omer: o d <br /> Mod <br /> 1711070 <br /> Sampling Container Pre50ned Makri>s <br /> Sample <br /> 10 42 <br /> `0 f l? <br /> L U <br /> a <br /> E cU Date Time ° d' Q ; U „ � w � <br /> _ a <br /> y d ? W <br /> F"+ O <br /> w CFA CT 1 5:25 x I Ix x JX x x x <br /> v z � <br /> y .. <br /> V U U U <br /> GJ 4J 4J <br /> w O O O <br /> Relinquished by, 6e —T—ime Pec eived by: RemarWondition of Sample: <br /> Rall ngirished by: Date Time Received by Laboratory. <br /> Bill To: � <br /> , a� ff• 3.t r� U) <br /> aD <br /> E 0_ <br /> 2 tY <br /> a > i <br /> rn � <br /> x U E <br /> 0 <br /> ° U <br /> U <br /> —J <br /> ( <br /> (~ CA ° —- <br /> V] 1{1 U <br /> Q N iC <br /> W <br />