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l <br /> Excelchim <br /> 500 Giuseppe Court,Sulte 3 l <br /> Roseville CA 95676 CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br /> E. onmental Labs Ph 916-773-3664 FX 976.773-4764 <br /> Pr dManager Phone tF Email Address thafner@condorearthcam DV(, � $ ISS <br /> Toad Hafner 209-234-0518 mhughes@condorearth com I' <br /> CompanylAddress Fax# s`e�1 <br /> Condor Earth Technologies, Inc 209-234-0538 ANAL.YS REQUEST Page of ` <br /> 188 Frank West Circle, Suite I Probed Name wet <br /> Stockton, CA 95206 6-Block Phase 11 Turnaround <br /> 0 <br /> d I <br /> Project Number/P O# Sampler Signature Tatar Tune s <br /> 2993A <br /> Project Location vo ; <br /> Stockton, CA m4nm <br /> Method y <br /> Sampling Container preserved Matrix � s m LL Field <br /> Sample <br /> W Q V V <br /> ID Date Time yy W LZ m _� o Screen s <br /> QQ4 ur c� tddh o z ' (((p��� aa aa a RatingpT ' <br /> k )c x X k <br /> .5 ~ to S asyr 1 x I Y 1k X I V E <br /> e51-I 5- IX My K x X x E <br /> 40,5.2 - 6, s- /ills- r x x IV x IX I.-( x x <br /> y°52 —1 o aS02sL Ips-o X x bely X X ly <br /> Y05 1 9C70 1 K )( X X <br /> e5-3-4- 1a' a 3 ! y X y y X y- x Y f <br /> b-'5 3—10 A5709-025 1330 x X x X x K x x > }E <br /> X X X K �+C X X <br /> Qsozr )3yf~ 2 x Y x x K x x <br /> 0 0 .r4'12 /Yo o 1 x X 5` X K x <br /> T- <br /> i's z: 9- a ,�o z5b sb y 1 k x Y x <br /> i <br /> H J+ <br /> -JL <br /> Relinquish b/l/ Date Time Received by Remarks/Condition of Sample <br /> Field Screen Rating '=low,`*=moderate,•`•=high <br /> AA, Yi✓ ii4r sa.M,�k Utz-s/WImZ <br /> Relinquished by Date Time Received by 1 1M�✓t p�"�'"t <br /> y,J ct All 0"t' <br /> E <br /> Relinquished by Date Time ReceTveq by Laboratory <br /> 24I <br /> P 12993A%Cham xis <br /> 6 <br />