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Industrial Blvd. <br /> Wes — <br /> West Sacramento,CA 95691 /(,� <br /> Tel:916-372.1434 Lab No. `7 L Page of <br /> 6wssas.,c Fax:916.372.2565 <br /> Chain-of-Custody Record and Analysis Request <br /> Project Contact(Hardcopy or PDF To): California EDF Report? 0 v,, [01 N. <br /> Darcie Forma <br /> Company/Address: ecommended but not mandatory to complete this sectlon: Analysis Request q <br /> Sampling Company Log Code: ~ <br /> see above <br /> WKAS Tr <br /> Phone No.: Fax NO.: Global ID: 24 Hr <br /> 372-1434 SL0O02050096 O <br /> T <br /> Project Number: P.O.No.: EDF Deliverable To(Email Address): <br /> 6324.02 df ma walla -kuhl.co 48Hr O <br /> o O d <br /> Project Name: Sampler/ m m C 72 Hr <br /> Unocal Op Unit Signature: $ Q <br /> Project Address: Sampling Container Preservative a rlX po n r <br /> m m 1 1 WK o <br /> – a <br /> Stockton Q JO N c J ^' o r+ 2WK <br /> Q J N W a O <br /> O j J a w w w w x T 2 U > <br /> Sample Ewag � F) z Wzao m a o o a a ° N <br /> Designation Date Time n Q = = v Z Z m ~ > ~ ~ <br /> MW3 2/5/2007 (S(!Jr6 1 2 TX <br /> X X x X X X x x x X X X <br /> 1WK <br /> MW5 2/5/2007 1 V 31& 6 1 2 x X X X X X X X X X X X 1WK <br /> I <br /> MW7 2/5/2007 2 f7 6 1 2 X X X X x X X X X X x x 1WK <br /> MW8 2/5/2007 6 1 2 X X X X X X X X X X X X X 1WK <br /> M1A/11 2/5/2007 l sT'p 6 1 2 X X X X X X X X X X X X X 1WK <br /> MWH24 2/5/2007 1515 <br /> 6 1 2 X X X X X X X X X X X X X 1WK <br /> M W 37 2/5/2007 1',y/ 6 1 2 X X X X X X X X X X X X X 1� <br /> MW38 2/5/2007 �5 Z5 6 1 2 X X X X X X X X X X X X X 1WK <br /> MW39 2/5/2007 [A 6 1 2 X X X X X X X X X X X X X WK <br /> Rel" by: /J _ Date Time Received by: Remarks: <br /> 17:411 <br /> Relinquished by: Date Time Received by: <br /> Relinquished by: Date Time Received by Laboratory: iJl to: <br /> r <br /> o2D5�1 /� <br />