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EXCeI M 500 Giuseppe Court,Suite 3 <br /> Roseville,CA 95678 CH -OF-CUSTODY RECORD AND ANALYSIS REQUES <br /> EnVICOM' __I l_Labs _ Ph 916-773-3664 Fx 916-773-4784 <br /> Project Manager Phone# Electronic Data Deliverables Request <br /> Joe Ramage (916) 354-3250 Email Address <br /> Company/Address Fax# <br /> Ramage Environmental (916) 354-1787 <br /> Project Location Project Name ANALYSIS REQUEST Pac a of <br /> 2222 E Weber Ave , Stockton SJ County Courthouse <br /> Wet <br /> Electronic Data Deliverables Request m Y <br /> Global I D # T0607700470 Email Address doulosenv comcast net m a Total 3 <br /> 'o o �_ 3 t <br /> 04 <br /> 0 cii m m o m m t C <br /> m E N O <br /> a m m N N -0 U W <br /> Jw t U U U) Y W m Y a <br /> Sampling Container Method Matrix �° a 5 Z ^ L g w �, t <br /> Preserved a m N N m R Q N <br /> o ,� cn m e CO m W CO <br /> Sample 0Ngo No T EU N <br /> I D m m m m T oco _ °0 `n N o, O Q H <br /> Date Time v, '� z `� _ h u- <br /> OD <br /> :: <br /> WOOO a U N o = a <br /> 0 w C7 m E co Z -� X R ro 0 c O LL w m m cmn m y w m a ai <br /> g w w 2 S , o U pp x o ar cd m o <br /> D U Z O ¢ O F- a, a. o m r m O F m O y a m m m .. r Cr <br /> cn r cn z = �? z v� ¢ m F �- a 4 U U) z v aC <br /> 10 <br /> Yo <br /> Relinquished b Date Time Received by Remarks/Condition of Sample <br /> r <br /> elinq fished by Date Time Received by Laboratory <br /> Bill To <br />