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t <br /> CHAIN OF CUSTODY <br /> ANALYTICAL LABORATORY DATE -Vl;ol WEATHER > Jnn <br /> A DIVISION OF DEWANTE 6 STOWELL PAGE � I OF <br /> 1914 S STREET,SACRAMENTO,CALIFORNIA 95814 • 916.447.2946 ^` <br /> ANALYSES REQUESTED <br /> IACATION (�S # o <br /> SAMPLER SIGNATURE Fr +� <br /> PRINTED NAME a <br /> COMPANY NAME 1.1��5 '� G o- rL,Lie r I <br /> LAB REPORT RECIPIENT <br /> TELEPHONE NUMBER ��_ S 'o j � � 0 p <br /> ADDRESS r <br /> cn <br /> 9 S <br /> SAMPLE ID# TIME WATER/ COMP/ VOLUME z <br /> - SOIL GRAB <br /> . , . <br /> - o•s - ✓ <br /> :oa <br /> = 3 <br /> •off <br /> Precautions] <br /> Sam le R in ished by DATE TIME Sam le Received b <br /> DATE TIME COUNTS <br /> Com an 777� ,�, I///y/9 - ' <br /> p Y 7- <br /> Company � (�R�Q C1 <br /> Sample Relin ished b A,, <br /> DATE TIME Sample Received b F�Ax jet-,5.t,, <br /> DATE TIME ° <br /> Company <br /> Company /k10rrn <br /> Sam le Relincruished by DATE TIME Sample Received b 13' 11 cop <br /> DATE TIME k S A GAso <br /> Company C'af-f <br /> Company , <br /> Samples are discarded 30 days after results arereported unless other arrangements are made. <br />