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s � 0L TES 00 <br /> nA <br /> HYDR <br /> ENVIR MENTAL C Cain of Custody PO-2089 <br /> TEC HN OGIES, INC. <br /> 2394 Manner Square Drive, Suite 2, Alameda,CA 94501 Page or <br /> ! <br /> 510-521-2684(voice) 510-521-5078(fax) Date 7/ {Z /2000 <br /> Lab Name TEG Analysis Request <br /> Address 11350 Monier Park Place <br /> Rancho Cordova, CA 95742 o <br /> w 000 <br /> W No o o K <br /> a0 N <br /> Telephone 916-853-8010 w 0 ❑ a o N <br /> Salens(Si a <br /> 00 <br /> m <br /> �Vyy <br /> 7t9 D S S o o Q 4 V ° o �1 x m <br /> Sample Number Matrix Location p .9FFM > > > <br /> l 000n071 U. l I-is UI <br /> 2 UtltlT7- <br /> 3 0007 <br /> < 0007 <br /> 5 0007 <br /> 0007 <br /> g <br /> 9 <br /> 10 <br /> Project Information Sample Receipt Relinquished By 1 Relinquished By 2 Relinquished By 3 <br /> Project Name Total No of Containers i <br /> Central CA Traction Co <br /> Project Manager Chain of Custody Seats (S W6) { i ria crime)(S�g� } � ) <br /> Avakian f` t o747-0 <br /> Name) <br /> Job No Rec d flood CondiuonlCold (Printed Name) (Date)(Printed Name) (Dau)(Printed (Dau) <br /> 007-346 <br /> Shipping lD No CDnfoms to Record ( parry) !� Cam <br /> Com (C��vlk <br /> tAb No Received By 1 Received By 2 Received By (Laboratory) 3 <br /> Via Hand <br /> M=)Special Instructions/Comments ( r mR� ��rme)(Signa—) (Time}(stgnaarre) <br /> l <br /> u Priv Name) )(Printed Name) (D <br /> Standard Turn Around Time <br /> ( _ (Pri Nom) '�b� { 4 <br /> (comP.ay) pang) (rsema+oty) <br /> 1 J <br />