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L �S 1046 Olive Drive, Suite 2 Phone#: 916-753- /flA N-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br /> Western Environmental Davis, CA 956.16 Fax#: 916-753-66091091 <br /> Science&Technology Sample Receiving#: 916-757-0920 <br /> Project Manager: Phone#: <br /> J For <br /> ANALYSIS REQUEST < Lab <br /> Use <br /> Company/Address: FW.E.T. ONLY <br /> / /y 9 D Y <br /> co OTAL(�j N - - <br /> Project umber: P.�.#: Pro' ct Name: o ; <br /> 2070 3 33- � <br /> °moo 3 <br /> 0 N <br /> Project Location: Sampl r nat _ °' z v <br /> � 1A O U IA <br /> N ` <br /> 1�1 <br /> S 00 co m M L j <br /> Sampling Cont er Method N �; o ° M N z <br /> 1 <br /> Matrix o �, <br /> (Type/Amount) Preserved °O o 0 o N N �' C r5 o v~i <br /> Sample ID � _ � � � � � W M � � � � � <br /> w N F-- I'7 W W CO a w N O O O N N (D a \ <br /> DATE TIME 0o w � g UOz w 0 QO F_ aaaaaCL0- ¢ Wv L <br /> U J = = U Z (n m m F F- W W W W W U J U r <br /> /G 1z <br /> /6=y <br /> i! <br /> elin ished Date Time Rec Ived Remarks: <br /> O <br /> elinquished by: Date Time fe ce�iv e Eby: <br /> Relinquished by: Date Time Received by Laboratory: Bill To: <br />