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THE SAM JOAQUIN COMPANY INC. CHAINi OF CUS'� A I <br /> J 1 <br /> Transmit results to office checked below: <br /> sMAN., SIrS <br /> Q.._.. : <br /> ❑ 33233 South Koster Road, Tracy, CA 95304 , <br /> Voice: (209) 832-2910 Fax: (209) 833-128$ {p <br /> Q 1120 Hollywood Ave.No. 3, Oakland, CA 94602 <br /> Voice (510) 336-9118 Fax: (510) 336-9119 �0�4�"03 0 5493 <br /> Project: C. Navarra 7500W. 11th St., Tracy Laboratory: STL San Francisco <br /> Project: No.: 9902.015 Project Mgr.: DJW Carrier: , <br /> Sampling Team: DJW/BM Waybill No.: A3 <br /> Site Global I.D. No.: T0607700606 <br /> Sample Type Field Wellhedl Depth to bate Time r ' Aral sesRe nested Lab No <br /> y <br /> Number Point Suit}EIeX GWSample Sampled :Sampled <br /> ff 4 <br /> V,VJ .5 7p lL W—LZ 'ya <br /> IAVJ-z-10 y /e>4 -ffw-, . rb <br /> —'dal6 a H 1 • h p`� <br /> u _ aS• 1z'1"5— <br /> �i fI 2P-3.l" v K 3 i 4 /Z: 2Z D°G <br /> 1 'vo <br /> Sample Hazards: -eo A16z mac:ja,sC-c!5�-r4:L K)6L YL� ority: Routine Expedited ❑ Special Ll <br /> Notes: <br /> CUSTODY RECORD Print Name Company Date Received Time Received Date Relinquished Time RelinqUished Si tore <br /> Originator: <br /> Received/Relinquished by: ' <br /> Received)Relinquished by: <br /> Received/Relinquished by: <br /> Received at Laboratory by: c57-L_ S F -3/23/02— <br /> /z3 0� / C/ G 1 f ✓i 1�n <br /> t <br /> Rev.3102 <br />