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M = = M W = M <br /> 4 r-,� Z S� <br /> O� <br /> 0053 <br /> O53 sacci,No - <br /> HYDR <br /> ENVIRr MENTAL Chain ®f Custody CA PO-2108 <br /> TECHN OGIES, INC <br /> 2394 Manrttr SqU IPL Dri%c, Suite. 2 Alanicd t CA 94501 lodge of r <br /> 510-521 2684 (vole) 510-521-5078 (fax) Date 9/ 1 12000 <br /> i <br /> Lab game Chromalab, Inc Analysis Request <br /> .address 1220 Quarry Lane <br /> � a <br /> � x <br /> Pleasanton, CA 94566-4756 y <br /> N o <br /> - r <br /> � m <br /> ux F F u�i ° <br /> Telephone 925-484-1919 < <br /> C4 G <br /> ?C <br /> o d <br /> Sa piers(S na Qe / F c F — o N o E <br /> 6� o S ] 0. `- O O �.O <br /> a W n m °� ?: > °O <br /> t.LLC7 <br /> c Q _ c � O � m <br /> a a r o a d o= o o O u Q U 7 U U z O w Z <br /> Sample Number Matrix Location F p© -o F F F F > > > rn d a. <br /> 000901 <br /> i : water MW-1 <br /> 1 ( -1 � <br /> z 000901 l 1+ water MW-2 <br /> 000901 water MW-3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> S <br /> 9 <br /> 10 <br /> Projtct Information sample R«cipt <br /> Relinquished By 1 Relinquished By 2 Relinquished By 3 <br /> Pnprct�amc Tout No of Container ' r <br /> Central CA Traction Co �'�. -- <br /> Pnr)e�t rlana�er Chain�1 Custody Seals (Sign�m�l �� t(Time)(S,hnamre) {Tome}(Signamrel (Ti me) <br /> Avakian 3 <br /> Joh No Rei,d Good Condmun/Culd (Printed Name) (Date)(Ported Name) (Date)(Pnntcd Name) (Dau) <br /> 007-346 <br /> Shipping I❑ No Conforms to Record {Company} (Company) (Campanv) <br /> I <br /> I <br /> lab No Received By 1 Receitied By 2 Received By (Laboratory) 3 <br /> Via Hand <br /> (Signature) (Time){Signature) (Tunel S ru ) v (Time) <br /> Special Instruction-,/CommentsG341✓i ✓� <br /> (Pnnted Name) (Uae�}(Printed Name) (Date} ntvj Name) (Dam} <br /> Standard Turn Around Time �C— r o0 <br /> (Umil"nv) (Company) {lrburatoryl ���� <br />