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7046 Olive Drive, Suite 3 976 753 9500 CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br /> Western Environmental Davis, CA 95676 FAX# 976 753 6097 <br /> Science&Technorogy LAB# 976 7574650 <br /> Protect Manager Phone# <br /> ANALYSIS RECUEST TAT <br /> Company/Address r FAX# WET (r) <br /> W TOTAL(r) Y <br /> 3 <br /> Protect Number P 0# Protect!Jame � LC o <br /> 2 05 396 <br /> p <br /> aW o G D 0 N <br /> Protect Location 5 Signature m` 2 ;, of <br /> W W <br /> �UCr tC1 L� o C4 <br /> 0 m Y -- �q N N 7 M > > <br /> m — m N d co U) — N EL is <br /> Method a 01 O w m ti a a (L N Z U ccLU n to <br /> Sampling Container Matrix 0 m a o <br /> P 9 4 m dl � y 4 0 O b 0 O W � Y C > <br /> Sample Preserved 06 � c� � � pCMLo88ItNJ " � � " > w � <br /> W cn v o a p as °� co ro ao m w m U y o N W F- Q <br /> ID °C N o o Q o o o N N a` U' ❑ ❑ <br /> [)ATE TIME ¢ w Q a O z w �_ x '° 0 m x '° m w �a m �o �v a c� W z <br /> O O a U z V 0 ¢ O F H 0. 0 0 �a a a a a a a CL <br /> 0.. m m Q a uQI ❑ X 4-- <br /> fn J J Y S _ Z � U) m F_ f- ti Q� W W W W W W W 0 Q U W W Vj <br /> w - Z- Z, yt • <br /> : `t <br /> 17r � , <br /> 1 d Y%aUI J V <br /> << - <br /> 'B <br /> uis ed by Date Time Rece b emarks <br /> etm Date Time Receive by <br /> e i e y Date Time Received by La Bili To <br /> s ��sT <br />