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PRECISION ENVIRO-TECH <br />Customer Number <br />Addres.-s:-- P --,,e - 13 ox 3,7-4�4 <br />.0'r C-2 <br />FAX: <br />Project <br />Contact per z <br />Swtlplo <br />MmAwr I 1,00atio-A Do"ription <br />San"Ide <br />Saxuplej, (*I <br />CHAIN OF CUSTODY' <br />AND ANALYSIS REQUENT POCt <br />COMPOS40, Sampler $Otup. <br />Date: Time: <br />Svbjoct to Surcharge Field SampW: <br />Time Milage:-- <br />Rush Alialyails: 16 Days -- � lh�ya--- 241irs .:_ <br />aubjoot to survIkAva# <br />QA/Q(' report- rwwivW* yes - ao - <br />if yes, To., 944,e C1 iont ("Or <br />L- <br />------------- <br />RefinquiLihad by <br />Data ilia <br />e i v o d by; <br />at e -4ft 1"- 42, <br />Rehnqukshad by: <br />Date _.-Tha* <br />by: <br />Data ..--n .,,...<-.. <br />Relinquitihedby: <br />Lettkius- ( I OrAea. I VOA kleaxUpam <br />Ousto(tv soal yes no <br />)UPS W(Ki Xx <br />rop Off <br />RefinquiLihad by <br />Data ilia <br />e i v o d by; <br />at e -4ft 1"- 42, <br />Rehnqukshad by: <br />Date _.-Tha* <br />by: <br />Data ..--n .,,...<-.. <br />Relinquitihedby: <br />3935 N. Coronado Ave, * Stockton CA 95204 * Telephoije (209) 477-8105 * FAX (209) 546-7497 jhvle@petallatbxom * wwwj Pag , e7 o �f7 <br />