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WATERWORK <br /> �CHA�IN-O�F-CUS�TOD�YR 'f,JRD AND ANALYSIS REQUEST <br /> . PROJ.NO. PROJECT NAME <br /> . • �: , ANALYSIS TYPE REQUESTED <br /> -r d <br /> SAMPLERS:(Signature) m <br /> w <br /> 1� w <br /> ~ w <br /> I.D.N0. DATE TIME ]OM ¢ STATION&LOCATION U ¢ <br /> Z:) <br /> �` <br /> REMARKS <br /> S�►1�1 �II�}- 7 nni fTa G -c C 5. Wj ✓ 1 5 <br /> ,9 .. w. <br /> 0 of �ukj- <br /> Std�! �i l�,}_, r 3�C 1 W ✓ <br /> Li <br /> Sww �- I D3Rs� 33 <br /> I . <br /> I <br /> PLEASE RETURN ICE CHESTS <br /> AND BLUE ICE TO WATERWORK. <br /> LAB. :Vitw°n0J.MGR. <br /> Relinquished by: Date Time Received ti . <br /> y" Relinquished by: Date Time RObelved by: <br /> 4317 9.2 <br /> Relinquished by. Date Time Received by: Relinquished b V <br /> q Y xDeite Time Received by <br /> 4 LA'S=' Date .Time Received Laborato Date" <br /> .Rel#n uiaid�# <br /> rY Time. REMARK8(Shipping Related): <br /> 1710 MAIN STREET • ESCALON,CA 95320 • (209).838-3507 <br />