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Precision Envlro-Tech <br /> { Port' of Stockton Chain Of Custody Record j <br /> 7743 N West Ln Suite B2 Send Invoice to � <br /> Stockton CA 95210 Port of Stockton <br /> (209)462 0892 Department of Environment land Regulatory Affairs DATE !' -G <br /> FAX 209 477 8148 P O Box 2089 11 <br /> 1 1 <br /> Stockton CA�t 9520!1-2089{ PAGE of <br /> f <br /> ' Attn Rita i<oehnen <br /> � x E <br /> CONSULTANI UIMYANY SITE ADDRESS(Street and Llty) , <br /> WGR Southwest,Inc <br /> ADDRESS Port of Stockton UST Site Not 3 <br /> 315 W Pine Street,.Suite a PRO1ELITCCNTA`CT(RepmioI Jim Neal CONSULTANT PROJECT NO <br /> 61 rY <br /> r SAMPLER NAME PmE _ LABU5ONCY" 1, q i <br /> Lodi California 95240 E s�i r <br /> TELLPHUNL FAX MAL i! } �i i, "I <br /> 5 <br /> (209)334-5363 (209)334-5374 lgnealOwgr sw corn. �� /il l�( s <br /> i ) ��I�EII,IiI!���li lll;�lll�fl it€Ilii!!!{EE <br /> TURNAROUND TIME(BUSINESS DAYS) 1 e V <br /> ❑ <br /> ID DAYS 0 5 DAYS [:] 72 HOURS ❑ 48 HOURS © 24 HOURS�] LESS THAN 24 HOURS j �( - REQUESTED ANALYSIS t ! <br /> t { <br /> FIELD NOTES <br /> SPECIAL INSTRUCTIONS OR NOTES TEMPERATURE ON RECEIPT C° i <br /> to ! 4 <br /> � G I <br /> 1 i <br /> m <br /> C r i <br /> 0 m !t <br /> N C <br /> Lae SAMPLING No oP x i <br /> 'kUsk„ Field Sample Identification MATRDC CONT a X l t <br /> ONLY HATE TIME r m II <br /> r,I I ^1/ X 1X Container List <br /> MW 3-S -d l3 1�! ao Aq 4 , I 28 ea 40 rill VOA Vials with HCI t <br /> MW 3-2 y1-( !ty IS AQ 4 X iX �I <br /> I' q 4 n it r <br /> MW 3-4 -a(o 0 36- Aq 4 X iX I� t <br /> tl I� I' , MW 3-5 _� !y I y Aq 4 X x l <br /> x - <br /> I' !f j <br /> MW 3-6 a-a �' Aq 4 ,X <br /> OGi' Trip Blank -a6 1,5',15 Aq 4 X ;X <br /> I t <br /> iii i,ll,al E <br /> Relmgtnsfied by- gnature} Received by(Signature} <br /> _ �t Date Time I <br /> Relinquished b naivre '"— c <br /> 4Li y 9 } Received by(9gnaNre} �I <br /> E Date ., Time { <br /> ` ( i <br /> RermgWshedby(Sonature) Received by (Signature) x` � pate Time <br /> i Itt! i <br /> i <br /> DISTRIBUTION 4yhkE _ rtt Gre File Ye11-Pnk m CBM i = �� mg,fo3 R _ <br />