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AoJnb CHAIN OF CUSTODY <br /> ANALYTICAL LABORATORY DATE WEATHER PAGE OF <br /> A DIVISION OF DEWANTE L STOWELL <br /> 1914 S STREET,SACRAMENTO,CALIFORNIA 95814 • 916-447.2946 ANALYSES REQUESTED <br /> 41 to 'a 'Q <br /> LOCATION /�,� v ° <br /> SAMPLER SIGNATURE t..r-=� > , E ~ V <br /> s4 <br /> PRINTED NAME L a„ R U_IA.',-'(r ,r ,k? <br /> COMPANY NADX S o c- L •�+ o <br /> LAB REPORT RECIPIENT Socr <br /> TELEPHONE NUMBER 7v7 3-7 y- S 30 u o a <br /> ADDRESS /00. y/7 41j) !l/5 Ti¢ c.9- 9 Y s-7! 14 <br /> SAMPLE ID# TIME SATER GRAB/ VOLUME z <br /> vr- oo IT / 5-- ------ <br /> hl�s�.t yes <br /> so -voDL- - <br /> o I - (v/tL Pl�nG <br /> ? Precautions: <br /> Salp e Reliished'by) ATE TIME Sample Received by <br /> DATE TIME COMMENTS <br /> � . <br /> Company Coparry <br /> Sample Relinquished by DATE TIME Sample Received by DATE TIME <br /> Company Company <br /> Sample Relinquished b DATE TIME Sample Received bv DATE TIME <br /> Company Company <br /> Samples are discarded 30 days after results are reported unless other arrangements are made. <br /> "aza-a-,.s s---'es :,, be ---urr - ' :o c ' it c spc of .li. s e: se. <br />