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PREEISION ENVIRD-TECH CHAIN OF CUSTODY <br /> ANDANALYSIS REQ VEST DOCUh9ENT <br /> CLIENT DETAILS 1 <br /> p �1 ry �c`� Rush Analysis: 5 Days _2 DayA 24hrs_ <br /> Client: >��+ f �° F lo�e^ Sco ` + r 1 fSoC . Sampler(s): I� — <br /> 7-- 6ubject to surcharge <br /> i <br /> Customer Number: QA/QC report required: yes ac, <br /> /� r ! f ' /� Comp Sampler Set Up Date:—Time: <br /> Address: <br /> !(�2 [Y10L^J37y� ry( [U Time: Mileage: If Fes,To:State _Client _Other _ <br /> L&dj 9 SZ, ) Q Lab number: / <br /> Phone: 3(p -3 1 t s _e 1 <br /> ��/ O <br /> FAX: 3i� - -z' s 3 x F a <br /> Project name: zF= ti z <br /> c sI?3 v $ 4 (� m <br /> Contact person: °i Cc a <br /> sampleDafe Time o <br /> Dumber LOC8t1OIi DOSCI'FI1tLOLl Sample Sample +'' x> a go3 `f O <br /> UMULUM <br /> �7 12-••C Received by: Time <br /> Relinquished by: Bate Time <br /> Relinquished by: to fF_Time _R. eived by: " "� ' ""—t —Date,(f(Jd(�`,dl�me�2 " �� <br /> Relinquished by: Date _Time Received by: Date � Time <br /> PRECISION ENVIRO-TECH 545 E. Cleveland,Suite A*Stockton CA 95204.Telephone(209)462-0892* FAX: (209)462-7935 <br />