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EXCeICFAS 500 Giuseppe Court, Suite 3 �. <br /> Roseville,CA 95678 CF.--I -OF-CUSTODY RECORD AND ANALYSIS REQUES. <br /> Environmental Labs Ph 916-773-3664 Fx 916-773-4784 <br /> Project Manager Phone# Electronic Data Deliverables Reques <br /> Joe Ramage (916)354-3250 { Email Address <br /> Company/Address Fax# <br /> Ramage Environmental (916) 354-1787 <br /> Project Location Project Name y <br /> 2222 E weber Ave , Stockton SJ County Courthouse ANALYSIS REQUEST Pa a of / <br /> Electronic Data Deliverables Request Nr wet c 3 Bin <br /> Global ! D # T0607700470 Email Address doulosenv comcast net o total c Due[late <br /> Project Location Sampler Signature `o 0 0 0 m — _ h <br /> N <br /> O N O <br /> t N ffl O <br /> � U-) <br /> N i E m 00 N L <br /> (SVD °T p N �n 4f7 Y Q <br /> Method w r 7 N <br /> Sampling Container Matrix C E Q w m Q o a o <br /> Preserved 3 �' m w m o o �, - E N <br /> 'n q C> `N° w x E z Q r <br /> Sample o o m a �, o - N <br /> °0 C7 N u1 N o N � X iLcc N 5 H <br /> D Date Time w 00 U X a o o _ o vw LD c6 = o w Q � A <br /> o m m v H O d Z <br /> w � M w w X m m 0 N w m w m rA m <br /> Q w c7 O w z w I- _ m U m x m ' E u ar LAB USE <br /> g D U z U 0 Q O H a d o U (D O w F- O �, a as Q a -, ar <br /> cJn a cn = = Z ¢ m i— a a_ > �n _J i,_ cn U U z U Ix ONLY <br /> of <br /> le;el 7 �h <br /> I <br /> linquished y Date Time Received by RemarkslC <br /> _t.,e <br /> Please include methed blank results, <br /> Relinquished by Date Time Received by QA/QC and surrogate acceptable liruts <br /> Relinquished by Date Time Received by Laboratory Bill To <br /> 43 � d <br />