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77- <br /> % <br /> THE SAN JOAQUIN COMP NY INC. <br /> E3 33233 South Koster Road, Tracy, CA 95304 CHAIN OF CUSTODY <br /> Voice: (209) 832-2910 Fax: (209) 833-1288 REQUEST FOR ANALYSIS <br /> 1120 Hollywood Ave.No. 3, Oakland, CA 94602 RECORD <br /> Voice (510) 336-9118 Fax: (510) 336-9119 <br /> Project: W. Laboratory: <br /> Project No.: q6 , z-c- v-f. Project Mgr.l .�- 6,-vz Carrier: �� y,., � <br /> Sampling Team: i,--% Waybill No.: <br /> Sample No. Type Sampling Location Date Sampled Time Sampled Analyses Requested Lab.No. <br /> Az-r-> PNv.a 6L,!!?5 )O&L- K\00—% <br /> Z- (k, r-> A L4 Kw-L /0.' CT) j5-.6 L- <br /> b- i =3 5-- Tfo ic-L.n?6=1 <br /> 4- �4 LL Ar -51-f-il /0 r15- 17A- WL6,-r s�- <br /> �5 <br /> Wk V.-) - to Pf-2-0 L. rt w FIs j '0/0/ A.) al" A., <br /> -7 <br /> Sample Hazards: (fo, "t---of Po$2 SD Priority: Routine Expedited E3 Special El <br /> Notes: <br /> CUSTODY RECORD Print Name Company Date Received Time Received Date Relinquished Time Relinquished Si tore <br /> Originator: _D( <br /> Received/Relinquished by: <br /> Received/Relinquished by. <br /> Received/Relinquished by: <br /> Received at Laboratory by: <br />