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506 Giuseppe Court,Suite 9 <br /> Excc-lchem Roseville,Ca 95678 CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br /> Environmental Labs (916)773-3664 <br /> Projact Manager Phone# Ca I��3104-1880 ����/ TAT <br /> ANALYSIS REQUEST <br /> —aI-tAJ avlr�:r- <br /> w LKL ✓ <br /> Company/Address FAX# C91b) 3 -189=1 <br /> TOTAL S✓) 3 <br /> cotz Inc t�xlsr,stss ������ SSE 1oD S�c� Ca <br /> Project Number P O # Project Name o L <br /> Jo�IU-CC'I-01 - GL'!1r`2 y ;, o co N <br /> Project Location S er Signal a I v y r N w w <br /> c:� U U <br /> �4 1✓ awe �� , Lv—k—r- C 0 0 m N N _ v <br /> ro ,n m ro m a 4 0 m a0 �, z U N cWl� <br /> Container <br /> Method MaAx o �, r m N 0 o o o a a _ m o a <br /> Sampling g� �, $ c� N �, � r, NCc UJ <br /> Sample <br /> Preserved = m _ 0 06 u- Q m ao Q Nm m U 5 o CV w I.- Cr <br /> w `n a C3 0 ' o a r o o n�i c`�v z y r n` n a N o O <br /> l❑ DATE TIME u�i ¢ v~i w w -J x m m O O = m �n u, cp co �n 0 < D U uJ z <br /> a LU w w z = a a a a a a a Q a <br /> p w V z �' O ¢ p a n, o o m a o., a a a a a a ¢ a u� v x H <br /> (h -J x = z v7 m m t- w �- rn w w w u,1 w w w O m U w U w to <br /> 1 4. 2?qS pp 3y x X X <br /> �=- 131 <br /> mw-3 1415 <br /> AA <br /> w�5 tS15 <br /> w <br /> V}-9 r Deo <br /> /v�uJ-I� ID1D <br /> finquis d y _ Date Time Received by Remarks <br /> 2RR a �zs Tn <br /> 4 Fix ��5u <br /> Relinquished by Date Time Received by <br /> Relinquished by Date Time Received by Laboratory Bill To <br />