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•r <br /> CUENT 'CHAIN OF CUSTODY RECORD <br /> NAME: �-�11, 44F�71, � � REQUEST F R #NALYSIS <br /> ADATE: Z D Wright <br /> 4Y,35-1 T l PA(iE_�OF _ % Environmental 209.833.0758 -Fax 209.832.515 <br /> PHONE NO.209- -6?qFAX NO. I� 2-i�i Ser4ceS,Inc. �, iwh i�et •Tmcy,CA 9994 <br /> PROJECT NAME: r a iGi 4 `r -4,As t4gICto A)C, 46S3d{ <br /> SEND REPORT TO: J oW^- ...... <br /> TURNAROUND TIME ANALYSES REQUIRED <br /> SAMPLER NAME/SIGNATURE /// NORMAL <br /> V 0 i <br /> I`IJ �`.t lI�1 cr RUSH ❑ ,n - vs 3 <br /> N w <br /> SAMPLE SAMPLING PRESEF- -ONTAINER SAMPLE DESCRIPTION m $ $ <br /> NUMBER DATE/TIME VATNE 31ZE/TYPI= WATER SOIL OTHER `* <br /> C7�0 pfte <br /> OZ <br /> o3 <br /> 06 <br /> D' <br /> ION& <br /> 3k7 ►ro p RITE �2 <br /> COMMENTSOUA >{-`.av Lo -Iet Me-ftoA; ice . Temp c <br /> Initial �'� oa#a :cSZ�t <br /> Coolant Prasant No <br /> Yt;a <br /> i <br /> Relinquish by: (Signature) Date: Received by: (Signsture) Date: ReN ulsh {Signature} Dae:��tI <br /> A 'i <br /> Company: -rfL me: Company: �� � �: <br /> 1 <br />