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NERV � � <br /> 720 Olive Drive,Suite D If V <br /> Davis,CA 95816 <br /> Lab 530 297 4800 <br /> ANALYTICAL tcc Fax 530 297 4803 Lab No page of <br /> Project Manager Phone No <br /> ah c 6o7--+zr-o:�oChain-o€-Custody Record and Analysis Request <br /> Company/Address FAX No <br /> B Ixt5 20�L F_ Fal Or, tw For l.ab <br /> Analyses Request H use Only <br /> Project Number PO No Project Name r WET (X) <br /> 062--}oq 50- b) m <br /> co 00 <br /> Project LocationSampler Signature o TOTAL(X) Y <br /> U-46-U t 7-0T5 b► o G h,61% , G f� <br /> � r y y <br /> Container Method w o 00 c9 o o <br /> Sampling (Type/Amount) Preserved Matrix � g = EL Q N N N <br /> U1 M to <br /> 0 O 0 0 $ <br /> Sample °O> g g off ° W 0 d) 0) 0 0 o 0 <br /> m <br /> W 0 Z �5 U N <br /> Designation Date Time v``i r r v °z 3 m F O 0 w U.1v <br /> Y1'l W 3,1-ZV 1/u/00 F26 ,- <br /> yvi w 3 -30 %2%0 3%3y � � S � —of <br /> X _ a� <br /> A-,w 3 -SO 1/20/00 11.156X c X <br /> Q:o 7 ° <br /> MW 3 _ p /� 5 X o <br /> -ITT- T- i i U I i <br /> Relinquished by Date Time Received by Remarks <br /> DJ- i/w/ce 3`Oo <br /> Relinquished by Date Time Received by Email address <br /> ❑ doc ❑ xls ❑ fxt ❑other <br /> Relinquished by 0/249 !�� Receive by LabarafoXAL <br /> ��a Bill to <br /> Distribution While-Lab Yellow-File,Pink-Originator COC fhb(9198) <br />