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THE,,. .,'AN JDAQU N COMPANY <br /> CHAIN -OF CUSTODY 1 . ` y. <br /> Transmit results to office checked below: REQUEST FORANALYSIS <br /> ❑ 33233 South Koster Road, Tracy, CA 95304 RECOIZU <br /> Voice: (209) 832-2910 Fax: (209) 833-1288 � a • 0'3 3 <br /> 1120 Hollywood Ave. No. 3, Oakland, CA 94602 -2— <br /> Voice <br /> Voice (510) 336-9118 Fax: (510) 336-9119 <br /> Project: C. Nadur+r'a.VrvPe'r�j -73-00 IBJ. 1��"'SE• 1rac.1 Laboratory <br /> Project No.: 000A- 015 Project Mgr.-Dai W n5 STL- <br /> Sampling Team: 'D`" M Carrier: -yam cry,,, c�0 ;� C�rn �l jut.• <br /> Site Global I.D. No.: -t:iOfoO <br /> Sample Type Field Wei"Oad/- Deptli"to Date Time. Analyses Requested Lab No.' <br /> Number Pont1Pt Elev. GWISIc ' Sampled Saknpled. _ <br /> p <br /> ... r` D �,' V L{ "l• V. d3 71 e-4 P.1 6 -8 5 <br /> ;lel la- 1 V�'"1 .� z ��io 03 !Z: Sn 3TC w- l±vd s b v SZ&D F <br /> L`- "Yl Z +' rZ: S+ 1�� �-f+IE��NSIdL�C?�a..1S <br /> Sample Hazards: LOW '%v lnaa6 P.urirrt'+!]as 0 �11N]L/Lt:firl 6r, AV•A5 Priority: Routine <br /> ty Expedited ❑ Special ❑ <br /> Notes6 e�rANI, aJ41-.'7 z t r- NP W nL V-UnAQ v Dia*l fn <br /> CUSTODY RECORD Print Name Company Date Received Time Received Date Relinquished Time Relinquished Si tune <br /> Originator: �- <br /> -Pa ti JA)ak`V,ins fin, 1n tA9• <br /> Received/Relinquished by: <br /> Received/Relinquished by: <br /> Received/Relinquished by-- <br /> Received at Laboratory by. f ' <br /> -3102 <br />