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500 Giuseppe Court Suite 3 <br /> Excel Roseville CA 91 0 CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUES <br /> Environmental Labs Ph 916 773-3664 FX 916-773 4794 <br /> Project Manager Phone# Email Address thafner@condorearth corn <br /> — odd Hafner 209-234-0518 mhughes@condorearth corn <br /> Company/Address Fax# <br /> Condor Earth Technologies, Inc 209-234-0538 ANALYSIS REQUEST Page l of <br /> 188 Frank West Circle, Suite I Project Name Wet Bind <br /> Turnaround <br /> Stockton, CA 95206 6-Block Phase 11Time <br /> Protect NumberlP O# Sampler Signature Total Due Date <br /> 2993A oe� <br /> Prated Location <br /> Stockton, CA m o o V <br /> Sampling Container Method Matrix V Ca J <br /> Sample Preserved 1 0 u'_ Field <br /> > �rn 1. 12�a z s r <br /> 0 <br /> Screen <br /> Date Time 'uID - Ito <br /> o z ¢ Rating <br /> �°v W o u rp .h ONLYU DLAS USE <br /> for � X t( X x X 11i' <br /> oZ aQ�o k K X X X ; <br /> DLJ -1 S^ r1f 26?z o91.r" I 'K K <br /> 0i-3-6 l l n z a ,rr t k x K x X x <br /> 3-rd <br /> S-//2Z,-z f-o2 t X u k x x KI k S R20 2 <br /> Ulf 3-Ir S' !7 09 l of o Xf" X K X K K x <br /> . ! 0g /.S-S- X X X )c <br /> OC-1 r rz b 110,o I Ki X K X K -rX k 5��62�c <br /> X x x X Y X <br /> is I/qo ! K IX My IYIXI X <br /> r 42 Ilyr X x XXX X X <br /> r - 7 r17 o r23a I 7C X WKX <br /> b l—I S- J` r 7 fl Z f 9JS- I K xIXX 1Y 1Y IX Q O� <br /> x7dP 1- 1 s� s' 02 0 I K K )( AXIXK J IX- <br /> y s o 5 7 0 2 J3io X X ?� X y <br /> -L12-? n s7/02- I o 6 a l X K x x V�13 <br /> Rellnqui eddb Date Time Received by RemarkslCondition of Sample <br /> Field Screen Rating *=low,**=moderate,***=high <br /> I q5L)r—,-- 17/Qz r��r �u� ez6,o ;zY A.L, r-4 r <br /> Relinquished by Date Time Received by A01( a Ir ofkw a4-4 JAJ <br /> Relinquished by Date Time Received by Laboratory Bill To <br /> 'VT�V <br /> P 12993A%Chain xis <br />