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EXceIC �� 4946 Watt Avenue, #38 <br /> North Highlands, CA 95660 CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br /> Environmental tabs (916)334-8661 <br /> Project Manager Phone# <br /> John Juhrend/Ian Moorhead 916-852-9118 ANALYSIS REQUEST yysOSz TAT <br /> Company/Address FAX# w E <br /> GEOCON <br /> 3235 Sunrise Blvd. #6, Rancho Cordova 916-852-9132 TOTAL(.1) 3 <br /> Protect Number P O# Protect Nance o LL <br /> 58100-06-11A / 53W202 / 10-FIOOO-02 (Stockton Yard) `� <br /> pN <br /> - CO <br /> Project Location Sampler Signature m to , u: 2 o UJ `" <br /> Stockton CA to <br /> o v a = N L U v_ <br /> r N <br /> L� LLT la N N j (7 v <br /> r d fr Ir <br /> U O O N W I1F W <br /> Container Method G �' ro co m Q " � N Z cn u, <br /> Sampling Matrix o ,� y o@ N o o 0 o d o o w 0 y a c j <br /> Sample Preserved m (7 'S o R1 N J U C a N ED fr <br /> � <br /> ID W U fX 0 O - 0 � '4 8c0 v � � o v a U) <br /> 7 Q � -C W w ro o O = c�0 cp w to W W Q d = W Z <br /> DATE TIME a w �. _ �_ x <br /> O J g y U z U 0 Q O h N a a a o w a m as as as a a ff m ¢ a uaj v ' X <br /> 'j (n J J Q 2 Z H ►- H W W W W W W W O 4= U W J U �J (() <br /> r � <br /> R VS--r2 z 9S �i�5� X X so 3 v <br /> wk- r3 Zv X A 0 (1 `a '3 f <br /> —�� /300 '� X O 4 �t S 2- 3 <br /> cel -r S zs <br /> 1310 X d cc 3 3 <br /> 5 X 5 o S � q <br /> 6r-a3 lU X X s u 4 S 2 3 S` <br /> 44td6•D_ os-144 x 0 Ct.S 2 3 <br /> (0-04 01KIk 2&1 kX510uts 3 <br /> MIS --0 0?47 ;10 (4 3 K <br /> --0 '� S O 5 2 3 <br /> Relinquished by Date Time Received by Remarks Caltrans Contract 53W202 <br /> �}r� �c71c�� ► r PI' / /3 71X ( Src► <br /> Ec co"') Tt�lfI 13n� Srr. <br /> Relinquished by Date Time Receive by l <br /> CC�✓�— q <br /> Rehn i I <br /> hed by Date Time Re rued by Laboratory Bill To %�"=- <br />