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4946 Watt Avenue, X38 <br /> Exceic em North Highlands, CA 95660 CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br /> Environmental Labs {916}334-8663 <br /> Protect Manager Phone# ANALYSIS REQUEST 5,j S-o S Z TAT <br /> John Juhrend/fan Moorhead 916-852--911.8 <br /> Company/Address FAX# WET <br /> fel <br /> C'E©CQt�I TOTAL{�} <br /> 3235 Sunrise Blvd. #6, Rancho Cordova 916-852-9132 •- <br /> Project Number P O # Project Name o LC z `o <br /> Q y <br /> Stockton CA Stockton Yard m M N <br /> CO 3 <br /> Project Location Sampler Signature m m ,, °D o w w <br /> CN U U <br /> �j > > <br /> S8100-06-11A / 53W202/ 10-F1{Il00-02 - /�� � a m �'-� a N w fr ir <br /> �, cc i 'A a m a s a 2 a° N z U w N <br /> Sampling Container Method Matrix a `' m o m �' N a d o o w > <br /> p P 9 co c� N a � �. 0 0 <br /> Sample Preserved __ � U- Q �0�O0 � _eQ � � 0 ^ 2N U; � � <br /> W iA U r co N N .Z ? d n a N d <br /> ID DATE TIMI: aW - g 6 z Q � wwsz ozaa ¢ aaa ¢ O a a <ED ID to < aQ <br /> O -� t7 a U z v O a h , a. a o o w a a. [L a a a CL m ¢ n_ w X F- <br /> > [I] r (L T x — z N m m F- 1- I- o) u! w U, u! w Lu w O (r 0 w -J L) ¢ W rA <br /> hip��- �LS 95 0909" 5 o 3 � � � L( 4 <br /> -1 <br /> — <br /> 6-Oct 09 30 _ 50 Ctjyjv <br /> G-11 ass Iss I I 1XIA I S1 a q <br /> rylwG-1Z toeo I X, So L( Ct s <br /> /i w U- �3 /03o <br /> X S d �( <br /> f S ° oc ? <br /> -�s k -t � � SCSCi � u <br /> IIL- <br /> Relinquished by Date Time Received by Remarks Caltrans Contract 53W202 <br /> s 1 1915- 1 -Fpl j / A1-iV l CV1 s1 <br /> Relinquished by Date Time Recei 7d by 2- 1-14 C (flo)S_/"= J <br /> 3 J4 <br /> Relinquished by ate Time Rejaived by Laboratory , Bill To <br />