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f C:G"IVULUCiY, ING. ` CHAIN OF CUSTODY RECORD / <br /> Analytical L..,oratory Phone: (916)362-8947 t l <br /> 1,1050 Fite Circle. #112 Sacramento, CA 95827 FAX: (916)362-0947 <br /> Company: lgl2 X EJIUV1PC7--rhc PhoneM/6)✓<.3S--0Z00 <br /> Project Manager: G ry i`'o-ffFAX:(•R/f.) 535-C-22•`7 STAL Invoice Number: <br /> Report Address: Billing Name&Address: <br /> -7Sy'I bttlb/5cr-3 .qVC-77 s xc--/0C <br /> P4--1)?- opre Cq z g ANALYSIS REQUEST <br /> Project Name: Project/Jot #: REMARKS: WET(STLC) <br /> A""fC /SEP pcE��+1 e7jQ-p Z�Co'f oftr-,�(Z t�-- N <br /> Project Location: 7 C F P.O. #- r 5 TCLP <br /> k"MYA GA- �l2 OZ pt)tf <br /> Preservative TCLP Total <br /> Sampling Container used Matrix TAT <br /> Z <br /> O co <br /> O <br /> to C N N a <br /> C. O = N <br /> O O N 00 Z <br /> N o v o -- a <br /> C') m ° N " m N N a m <br /> _ U <br /> 0 N E Ln a s o v r <br /> 0 0 V O a 0 ON w 000 �t r, A q o <br /> < > •n C co m O• O O O N N 0 O 4 C m u o <br /> O = N` p`p <br /> o o I� O 0 a H N W 00 d to — 4 '� C <br /> tn <br /> J to ' ,. Z t m O O O O N N O p U o �, <br /> E vi `o = o u o _ o` X X v Io co (o m ro a E v to <br /> J 0 .3 o o fw- w a a a a a a a o `o o v Q Q L v <br /> SAMPLE ID Date Time m o X z o 3 to a O cn co ►- I w w I w w I w w F- z 0 cc -J to ¢ _ <br /> 771-7 F <br /> Relinq�,js b Received_by: �yv� li ished by: Received by: <br /> tante: �, <br /> l� Time: <br /> i <br /> ��{ Y� Date:° j, Time: L -Q, Date: ��zo cls Time:w,44 — Date: G Time: � Ly' <br />