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JP^.:4GER TECHNOLOGY, INC. CHAIN OF CUSTODY RECORD <br /> Analytical Laboratory Phone: (9161362-8947 olkf to -- -Jim Ifobelfi»� <br /> 3050 Fite Circle,#112 Secrementm, CA 95627 FAX: 1916)362-0947 P.O ,60X 3o 33( <br /> Company: ut-Q'v�. )e n');Vcxdu : //i52—>6'q ( 5&cktN, Cq 453 <br /> 2) <br /> Project Manages `y I C' FAX: S-z - Z Fj I STAL Invoice Number: <br /> Report Address: Billing Name &Address: to I _zC <br /> im g? I&IL S ILixEtYL, <br /> SacvwCA�]S Si_Cu-Kici�1 45�� ANALYSIS REQUEST <br /> ` <br /> Project Name: 4tr fe tt W i,((IgotS Project/Job #: 5foil REMARKS: WET (STLC) <br /> Project Location: (2A- P.O. #: TCLP <br /> Preservative TCLP Total <br /> Sampling Container used Matrix TAT <br /> L <br /> N N <br /> O W <br /> m O \ <br /> c N C L <br /> N � u7 N r <br /> m O <br /> O o u m Z <br /> ry �f N � o <br /> M O O <br /> N U m N = L <br /> N t0 <br /> _ m N <br /> m O b i= w fl d w N m l7 m U n C <br /> ' U w 0 = O O O O O O O m m m m <br /> m O yU OJ m Ld N M W O r D m m Y <br /> Q n W N = ` w 03 w w w w m m ` <br /> m ym J U 0d N W <br /> ur .. Z .. t O O O O N N 'p O lrl m N > <br /> E E ? m m X x 'o 'o m �o m m .o _ ac a m <br /> o m N t U o t m .o a ¢ ¢ ¢ a a m c m L a <br /> SAMPLE ID Date Time a m N o T z o 3 w 'a o to m w w w w w w ° z° o` a: lu 10 1 M w a: <br /> < <br /> w,IlIQ�S s f l'. 0 I <br /> Re' qui he RQcgived bV ��� _� Relinquished by: Received by: <br /> Date: �" S Time:Z' 3U Date: 611 ITiimllee: 2, Date: Time: Date: Time: <br />