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Excelchem Laboratories, Inc. <br />Ancon Environmental Project TSS/Ranjeet Singh <br />570 Business Park Dr. Project Number: 400-13-30024 Date Reported: <br />Lincoln, CA 95678 Project Manager: Jason Morgan 12/08/20 17:38 CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST Email Address: sl*se•-\.14,0 e , C0\ CocAtrCC ancook—Serv.ico Coe\ — 1 - Due Date: Work Order: ,.. <br />..... <br />6 Remarks/Notes (2,L d1- JEST Page ol ,,± p,,„:4 <br />1---- -- - —, <br />CV <br />e. E erablei iport _ _YSIS REQl i____% ---_,) A -A, >4. <br />< ---x =-_,‘ _La ,,, ›e, ,,( <br />_L-- <br />Ct <br />.c, <br />_ <br />I . <br />= < °Jo " ci --1— Excelchem 1135W Sunset Blvd Suite A Rocklin, CA 95765 Laboratories. Inc v Ph 916-543-4445 Fe 916-543-4449 Sampler Name and Signature nu-v- /".17 0 0 e 27131VM ,i _.... <br />8 c i--- Method Preserved ii § • 2431-110/3NON II 3 '''— <br />. . Di ! ;_,) <br />Q. ' (710V Project Manager 3-0--304` MOrt\c.r\ Companyf Address A,Nczys. c.S 5/0 ei.,..5;,-"M 0.r Or S,..:•4 I kC..21, c1 4157.•18 IT <br />N.. <br />g . <br />. _ as DIISV1c1 <br />c o SD) Ne >(' <br />rc <br />2 <br />c•i T.0 <br />, <br />1/4:, C_..) 3A3 .D. 1S <br />VOA <br />1 c F--- c't ... m , m _ Relinquished by law and ponn Relinquished byrernrpnr V <br />...,......)) <br /><:z.L <br />-EL <br />b- cl <br />-- <br />cy <br />'.•Z:-. <br /><4 <br />= <br />< <br />_ LA a; e , <br />..÷: ff, <br />.. '.--, ....... <br />z <br />a) <br />Sa. 0 d <br />il <br />in <br />0 <br />CI) <br />01 <br />itr, <br />on <br />Excelchem Laboratories_ Inc. The results in this report apply to the samples analyzed in accordance with the chain of <br />custody document. This analytical report must be repmduced in its entirety. <br /> <br />Laboratory Representative Page 1 of 2