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N <br /> w <br /> 0 <br /> c �� 1135 W.5unsel BNd 5ulteA <br /> Rocklin.CA 95765 CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br /> Environmental Labs an;916-543.4445 Fx=9$6,841aaas <br /> Z <br /> to Prolki Akanager Dan GayAw Ph"p:fi 1.25.9109 EleclroniC D$la Deliverawes Request; Email Address; <br /> X ,PDF daniel.crRWlyrdOdteeners7Y.com s <br /> ro <br /> Ge41r$Cksr(arp.il4+ _--- m$run00mQ1194ng '42: <br /> Compa#Addrees.DTE`S14oV.LLC.25MW.wasninglon Fay,0:2S32o-M �Qlher;M1MI6&MO! d nial.hildebrand0dteerler -com ro <br /> 5t.,S*k14n.CA 95263 <br /> kurt.christian�dleen�r -com o <br /> ANALYSIS REQUEST NON—STANDARD Page 1 t <br /> Pralecl Number PURUASE cnF.H#4701052861 RrplW Name; Ash r R nl: <br /> n 'O <br /> Due Dale: <br /> PruleCt Lccalron DTE Sbck too Plant SamOarSignatura: <br /> I (` Work Order: o v <br /> Sampling Conlainer preserved Malrix y <br /> 2 Sample 00 <br /> 3 (Z a <br /> D = a W r ro U ILI Date Time <br /> 6 Lu <br /> LAB USE <br /> n $ _ 3 t k- ¢ ONLY; h <br /> W CFA CT 1 +c, 5JGI x x x x X <br /> cd Z <br /> y .. <br /> V U U U <br /> GJ 4J 4J <br /> W O O O <br /> R R R <br /> Relinquished by: Date 71me Received Remarks/Condtion of Sample, <br /> Relinquis b . >Dale Time Received by La tory: <br /> Bill To; <br /> r l I f i�{fn 10'• C7 U) <br /> E <br /> 2 tY <br /> a > i <br /> rn � <br /> x U E <br /> _ o <br /> o � U C6 <br /> W `o 2 J <br /> A N u1 Ll u <br /> W <br />