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[ [ C t C { { [ C { C <br /> 1135 W.Sunset Blvd.Unit A <br /> Excelchem Rocklin,CA. 95765 CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br /> Environmental Labs Ph:916-773-3664 Fx:916-773-4784 <br /> Project Manager: Phone#: Electronic Data Deliverables Request: <br /> Joe Ramage (775) 851-7239 / Email Address: <br /> Company/Address: Fax#: <br /> Ramage Environmental (775) 851-7240 <br /> ANALYSIS REQUEST Page of <br /> Project Location: Project Name: <br /> � <br /> Wet <br /> 2222 E Weber Ave., Stockton SJ County Courthouse B� <br /> � <br /> Electronic Data Deliverables Request: N o Total _ D eote <br /> Global I.D. #: T0607700470 Email Address: doulosenv comcast.net o o m a <br /> - - ----- co U') N 1 m N m 0 r 1N kC1Cd�� <br /> O m a) C14Wol <br /> L C - <br /> a v m a <br /> Method o w C6 <br /> Sampling Container Matrix Q N c L a a N <br /> Preserved E �, a m o r <br /> CD E o ? �� N mo Co w � m E N <br /> E7 m Lo (D N m O n co - m x E <br /> Sample a �, sCC) 2 o = - ° a <br /> Date Time `o D O °6 u n °' O _ o m w z N <br /> LLJO 72 <br /> m — o_ o >O 5 LL 0) m i u u a LAB USE <br /> LU C7 Q _ p z r w z O U ° o U m x o T m mn m o ONLY: <br /> Q L m O F i O a m m L <br /> O J J J 7 U Z V O Q O d 0_ p N <br /> > m a cn = 2 z cn Q m F- r- a O U u > n r z U t� <br /> Tr 0 <br /> Iv-Z 4 <br /> 6 <br /> Relinquis d by: Date Time Received by: Remarks/Condition of Sample: <br /> $� r901 cl-3� � n' <br /> Rehnquls ed by: Date Time Received by Labora ry: <br /> Bill To: ,.._ <br /> �JU� C�iY1C��G <br />