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I I I I I I I I I I I I I I I I I I I <br /> THE SAN JOAQUIN COMPANY INC. 1M -Z-Z- -I D <br /> CHAIN OF CUSTODY / <br /> Transmit results to office checked below: REQUEST FOR ANALYSIS <br /> 33233 South Koster Road, Tracy, CA 95304 RECORD <br /> Voice: (209) 832-2910 Fax: (209) 833-1288 <br /> ❑ 1120 Hollywood Ave. No. 3, Oakland, CA 94602 <br /> Voice (510) 336-9118 Fax: (510) 336-9119 <br /> Project: eo 5 7if-te �a Laboratory: C7t2e 44 <br /> Project No.: Project Mgr. Carrier: <br /> Sampling Team: r Ei� Waybill No.: <br /> Sample No. Type Sampling Location Date Sampled Time Sampled Analyses Requested Lab.No. <br /> / 7 D 5 MAI D Soy <br /> Sample Hazards: Priority: Routine *Wr Expedited ❑ Special ❑ <br /> Nines: <br /> CUSTODY RECORD Print Name Compal_ Date Received Time Received Date RchriqUished Time Relinquished Signature <br /> /7 D/ i Ste- f{ luf <br /> Received Relinquished by: �j — <br /> Received/Relinquished by: t� <br /> Received/Relinquished by: n L 1-7 161 <br /> — <br /> Received at Laboratory by: 7 G' <br />