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THE SAN JOAQUIN COMPANY INC. <br /> CHAIN OF CUSTODY <br /> Transmit results to office checked below: <br /> REQUEST FOR ANALYSIS <br /> El 33233 South Koster Road, Tracy, CA 95304 <br /> Voice: (209) 832-2910 Fax: (209) 833-1288 WWORD <br /> rl 120 Hollywood Ave. No. 3, Oakland, CA 94602 <br /> 0zS <br /> Voice (510) 336-9118 Fax. (510) 336-9119 <br /> < <br /> Project: C. Okok(ZE.A -7 W it-13& �"r Laboratory: <br /> Project No.: fje,?,-01.3 Project Mgr. 7-j>-A,,-s <br /> Carrier: <br /> Sampling Team: 1z Waybill No.: <br /> Sample No Type s' <br /> e <br /> e Analyses eques-ted <br /> sa Sampled T- Sl d oly <br /> &atioli <br /> WZ' <br /> 4-& <br /> Af 10-Z <br /> 4-- N� 4- A LA 6*1�52 02J,,,> <br /> P-11'0 Of w -T <br /> JA <br /> --7 <br /> z> eAXU6-r-I <br /> Sample Hazards: L,� --fo `ef-�-f 44,f.0-is. Da6%a—, Priority: Routine Expedited D Special J <br /> Notes: e <br /> Jac <br /> CL[zP%.'1-A 'zp-z Fa(L -7-&%1& C. I <br /> CUSTODY RECORD Print Name Com anYA Date Received Time Received Date Relinquished Time Relinquished Simature <br /> Originator: <br /> e2_ <br /> Received/Relinquished <br /> nn==— <br /> Received/Relinquished by: <br /> Received/Relinquished by: <br /> Received at Laboratory by. <br />