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a <br /> WATERWORK <br /> CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST q1 <br /> PROJ.NO. PROJECT NAME <br /> ANALYSIS TYPE REQUESTED <br /> 1q0- - f?4 AlZIA <br /> SAMPLERS:(Signature) " a <br /> CC u, <br /> (L m z a <br /> I.D.N0. DATE TIME D STATION&LOCATION V <br /> v cs 4 REMARKS <br /> AMN24)A Mw) Oram! lots .1- <br /> s <br /> H.� .L <br /> PLEASE RETURN ICE CHESTS <br /> AND BLUE ICE TO WATERWORK <br /> LAB. wv�PROJ.MGR,.("L '40.4- <br /> 1,;� A 'T,C^1 0 C41AAN s <br /> Relinquished by. Date Time Received by: Relinquished by: Date Time Received by. <br /> Ora-91 <br /> 3 ��a <br /> Relinquished by: Date Time Aeceivef by elinquished by: Date Time Received by: <br /> Relinquished by: Date Time Receiv by Laboratory: Date Time REMARKS(Shipping Related): <br /> 1740 MAIN STREET • ESCALON,CA 95320 (209) 8315-3507 <br />