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ESS— 1046 Olive Drive, Suite 2 Phone#: 916-753-9500 C IN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br /> Western Environmental Davis, CA 95616 Fax#: 916-753-6091 <br /> Science &Technology Sample Receiving#: 916-757-0920 w <br /> Project Manager: Phone#: ANALYSIS REQUEST F- For <br /> Lab <br /> 7,W4ac—z �/V�_ �ltS��7L� Use <br /> Company/Address: c 1cw,i �..,J C� FAX#: W.E.T.(� h ONLY <br /> TOTAL <br /> 3 co <br /> Project �er: P.O.#: P oject Name: o N <br /> / N Y <br /> 3 <br /> Project Location: Sampler i n e: N D <br /> Co z <br /> Sam lin Container Method o �; o N z <br /> ampling (Type/Amount) Preserved Matrix c y o 0 o Co N N N C N 0 <br /> Sample ID � _ W � t � C) � N <br /> p_ � � ao m y to r 0 0_ <br /> Qw O z M � � � � � <br /> w <br /> DATE TIME O w (D g Uz w O >QO wwn- °- < < < < < aw N <br /> J ...i = _ — Z > (n m m F- F-- w w w w w U J U <br /> (n J <br /> SQ_ W, <br /> s <br /> fliuished Date Time Received by: Remarks: <br /> Relinquished by: Date Time Received by: <br /> i <br /> Relinquished by: Date Time Received by Laboratory: Bill To: <br /> vgbo l <br />