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r <br /> CHAIN OF CUSTODY <br /> PRECISION ENV I R O-TECH AND ANALYSIS REQUEST DOCUMENT <br /> htt: 1/ www Precision Lab. Corn <br /> REPORTCLIENT DETAILS 1 ' 1 <br /> MMM <br /> Rush Analysis: 5 Days _2 Days_24hrs <br /> Client: nVVn ` / L V <br /> Sampler(s}: cm <br /> /h <br /> Subject to surcharge i.,a <br /> Customer Number: <br /> Comp Sampler Set Up Date: Time: QA/QC report required: yes no <br /> Address: Time: Mileage: <br /> If yes,To: State Client Other f <br /> Lab number: <br /> Phone: <br /> i-AX: <br /> ' Project name: 001te <br /> Contact person: o <br /> DTm <br /> SAMPLE INFORMATION <br /> a� <br /> ate V13'Number Sa ple Sample Location Description z <br /> — <br /> �f� <br /> 113 ' IS <br /> I <br /> } <br /> j <br /> {�f <br /> 1 <br /> F } <br /> f <br /> i <br /> i <br /> 11"drA[is CUSTODY <br /> 77Relinquished by: Date Time Receive by: Date ll 3 Time <br /> I <br /> Relinquished by: Date Time Received by: Date. Time <br /> 7 <br /> Relinquished by: Date Time Received by: Date Time <br /> PRECISION ENVIRO-TECH 2040 E. Harding Way Suite B *Stockton CA 95202*Telephone(209)462-0892*FAX:(209)462-7935 <br /> I <br />