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1046 Olive Drive,Suite 916-753-9500 CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br /> Western Environmental Davis, CA 95616 FAX#:916-753-6091 <br /> Science&Technology LAB#:916-757.4650 " <br /> Project Manager. Phone#: <br /> 7 t-EN, j C q q ANALYSIS REQUEST TAT <br /> Company/Address: FAX#: W.E.T. <br /> J�7 TOTAL{r) 3 <br /> V E 1 -- <br /> Project Number. ROA: Project Name: o ' `o <br /> w <br /> 7 _ <br /> u cn v <br /> m �_ m L .i[ <br /> I o 6oo 3 <br /> Project Location: Sampler Signature: m rn g `o y N <br /> �-- �; o m W W <br /> 47 ��1• C O 1!7 co V E N T U U <br /> 0 N () NO <br /> Sampling Container Method Matrix N y ° m 2 m � o 0 o a o o Q o a Q Z U n n <br /> Sample Preserved m m iu C7 - ii o o � o � N N � U �' � � � � � <br /> N = o(y °i� W W co 22 Se W m .�. O ll.f [[ 1 <br /> I D ~ �+ Oy Q O '0 O O O N N Z y a CM JD UJ <br /> r- a vj 0 <br /> DATE TIME w Q N � w w � O m � � co cD �n co ¢ O <br /> O> J a = O V z d 0 w a o o cp 4 a a¢. a a a a cc ai ¢ a w — a Q <br /> �i0 CO m F— H t— w w w w W W w 0 a: U w J UX H <br /> ir LU 0 <br /> C7--•1..S c J• x1 1 <br /> -n 1.7 9 ] ,S <br /> -- t <br /> Relinquished by: ate Time Received b Remarks: N L YZ �Aml� <br /> YP H LV 9k�S O — Sfl M P Lfn i.Jl Ci�1£Sr, <br /> Relinquished b l '" `"TSN <br /> q y Date Time Received by�:, _ /' ;�u�T� IV C 'rte ArrAL'f zcn -Fb2. <br /> Relinquished by Date Time e La g ry: Cela"TfCW fA`r C3_k -L "J O , 8 t✓ <br /> r /��' .�-X1,3- / �./ ����. �,.��-7'•r�l.�s <br />