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500 Giuseppe Court Suite 3 <br /> ExcellefflA Roseville CA 95678 CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br /> Environmental Labs Ph 916773-3664 Fx 91&773.4784 <br /> Project Manager Phone# Email Address thafner@condorearth com <br /> ' Todd Hafner 209-234-0518 mhughes@condorearth cam <br /> Company/Address Fax# <br /> Condor Earth Technologies, Inc 209-234-0538 ANALYSIS REQUEST Pagel of-L <br /> 188 Frank West Circle, Suite I Project Name wet ein� <br /> Turnaround <br /> Stockton, CA 95206 6-Block Phase II Time <br /> Prosect NumberlP D# Sampler Signature Total Due Dots <br /> 2993A <br /> Prosect Location CAAC <br /> La le Ln <br /> Stockton, CA m m m Nm <br /> 4 <br /> Method v m H <br /> Sampling Container Preserved Matrix R m Field <br /> Sample <br /> H o Screen <br /> ID Date Time <br /> a W c7 U 2 W Q ¢ O O a a �a aEi m ¢ <br /> Rating ° c° r ,� LAB USE <br /> Q ai a x x z a ti >- c) a ONLY <br /> k I X K )( XY A Yi I I I I I 5rrozTel <br /> fi�l-lo s �z ogsZ 1 k K Y X $ <br /> u 'y aC 5C y X <br /> 1� l r7o -4 / az GI92 Z 1 X x X X K yx w <br /> :CLf F/0 Z 1rl-0 l Z X X xy V y X <br /> yawl—(, S' o Z 1 yZ X, <br /> .sal a v /via I )c X u )r 5*0 <br /> -I S' p tvttal 11 1 X y x K X < YI q � <br /> -14011 S' I r o r it o:z /G a r Y I X lx Ax. x <br /> Relin uishe by Date Time Received by Remarks/Condition of Sample <br /> Field Screen Rating *=low **=moderate,"*=high <br /> 57��a 163-211u,, sieo 24rh,rxr <br /> Relinquished by Date Time Received by J401a U(( V¢hZ. a W01yxe,( <br /> Relinquished by Date Time Received by Laboratory Bill To <br /> t� 1�,17S )8t1-e' SGlm �� sed ire <br /> P 12993A1Chain As <br />