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Enseco Pse i of I <br /> CHAIN-OF-CUSTODY RECORij <br /> SAMPLER:(Sig TA-, <br /> tre <br /> DW Shipped Carrier <br /> Phan-_ -A 9 A- SR SR Airbill No. Cooler No. <br /> SHIP TO: SEND RESULTS TO: <br /> Enseco-Cil Lab Csant Name T-%,-,�1� w V" <br /> _2544 Industrial Bird. Compeer t % YM <br /> West Sacramento, CA 95691 Addr... <br /> (916) 372-1393 <br /> ATTENTION: r U 0 1— Phan* <br /> PROJECTNAME S TO,A+ rROJECTNO. P.O.NO. <br /> Relinquish d by: (Signature) Received by: (Signature) Date Time <br /> ^ P t /1L rt=e • C)C� <br /> Relinquished by: (Signature Received by: (Signature) Date Time <br /> 2clinquished by: (Signature) Re -ivcd at lab by: (Signature) Date Time <br /> -11 <br /> Relinquished from lab by: (Signature) Received by: (Signature) Date -rime <br /> ANALYSIS REQUEST <br /> Sample ID Sample Date/Time Sample Condition <br /> Number Description Sampled Analysis Requested Upon Receipt <br /> 4 O--4" 13:-3c 1�1a <br /> Special Instructions/Commeats: <br /> Tts� �cr �c•�l �tro1�L..w.��drolc�t-�c rti�. <br /> 1kax, av—ic' <br /> N T :F�TTUTRXNEDCLIENT <br /> Expected <br /> ualytical Immediate <br /> A.T's: Attention (s00% .uraharp) RUSH (6o-l00% .mar=.) Standard <br /> Cil Lab ID Number: (for lab use only) <br /> 3 ��� Client Retuinr White Copy Only (R.rised 1/87) <br />