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500 Giuseppe Court suite 3 <br /> Excel Roseville CA9S678 CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUES <br /> Environmental Labs Ph 916-773 3664 Fx 916-773 4784 <br /> Project Manager Phone# Email Address thafner@condorearth com <br /> ,Todd Hafner 209-234-0518 mhughes@condorearth cam <br /> CompanylAddress Fax# <br /> Condor Earth Technologies, Inc 209-234-0538 ANALYSIS REQUEST Page.Z of <br /> 188 Frank West Circle, Suite I Project Name wet 0-44-4 <br /> Turnaround <br /> Stockton, CA 95206 6-Block Phase II Time <br /> Project NumberrP C# Sampler Signature Total Due Date <br /> 2993A <br /> Project Location <br /> E o <br /> E <br /> Stockton, CA o <br /> Methoda m N >n <br /> Sampling Container preserved Matrix q 6 m 3 <br /> Sample = � Field <br /> ID �' "` _ 3 Q Screen <br /> Date Time t'u u m u ' ' `_ <br /> ¢ U i 0 a S x a E Rating o 0 0 <br /> r r m LA <br /> B USE <br /> o uy a z x cs z � r m c¢i h ONLY <br /> 13CI— s' / Z C/-17/0-C IYIr <br /> 4101 z ! K X x X K <1 X Or <br /> s z : o Z 1 s�O -2 2, k k �r s X K k > d <br /> T I X <br /> +t lk n <br /> IF <br /> Relinquis d by Date Time Received by Remarks/Condition of Sample <br /> ,� � Field Screen Rating *=low,"'=moderate,"'=high <br /> /l J?u-r 9.160 2y k�- 1-4r <br /> Relmqu:shed by Date Time Received by <br /> X'/4 d wr.( o,�� AWLA yJf1 <br /> 04 VO/f.r ,. A-- a K-i1CA �C <br /> Relinquished by Date Time Received by Laboratory Bill To <br /> P 12993AIChain xls <br /> I <br />