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CHAIN OF CUSTODY <br /> P R E E 1510 N E N V I R O-TE E H AND ANALYSIS REQUEST DOCUMENT <br /> hit: l l www Precision Lab. Com <br /> CLIENT DETAILS REPORT INFORMATION <br /> Rush Analysis: 5 Days _2 Days_24hra_ <br /> Client: PU�`T () F S�C1kT01�1 Sampler(s): 1 I/� 1 <br /> \J Subject to surcharge <br /> Customer Number: Comp Sampler Set Up Date:—Time:_ QA/QC report required: yes ` _ no <br /> If yes,To: State_Client _Other <br /> Address: Time: Mileage: Jrr+r <br /> L �l 3�1 <br /> Lab number: O <br /> Phone: <br /> c .s p1 0 O 6 V y <br /> FAX: <br /> Z <br /> ro <br /> �. � 7 A " SFA a v'` Fx z <br /> Project name: s 13 c� <br /> e o €:e 9 w z <br /> Contact person: s n v 8 z s s z oZZ <br /> W •���` a <br /> 9 `� ,og, <br /> INFORMATIONSAMPLE <br /> of te . y aux y <br /> Sample Date Time v 8 a a` "c $ d x O y <br /> Number Location Description Sample Sample �' z� a ��c e <br /> #7 v q5. Gr Vo 5 x <br /> z wv �/ # Is 2: ev M k / <br /> 1 1 J�a <br /> C Date -S imeJ� <br /> Relinquished by: Date Time Recei �- <br /> Relinquished by: Date _Time Received by: Date Time <br /> Relinquished by: Date _Time Received by: Date Time <br /> PRECISION ENVIRO-TECH 2040 E.Harding Way Suite B*Stockton CA 95202*Telephone(209)462-0892*FAX:(209)462-7935 <br />