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Broa tree <br /> IXC.lc Eureka,GA 95501 C 4 -OF-CUSTODY RECORD AND ANALYSIS REQUEO <br /> Environmental tabs Ph 707_-4.44-0120 _Fx 7.07_-444-0560 <br /> Project Manager Phone# Electronic Data Deliverables a nest <br /> Joe Ramage (916)354-3250 Global I D# To <br /> '� Email Address <br /> Company/Address Fax# COC # <br /> Ramage Environmental (916) 354-1787 Location I D # D" �SZ <br /> Project Location Project Name <br /> 2222 E Weber Ave , Stockton SJ County Courthouse ANALYSIS REQUEST Page of <br /> ccoo Wet Bin# <br /> Electronic Data Deliverables Request <br /> Global I D # T0607700470 Email Address doulose nv Comcast neto o —Total— <br /> Project <br /> D e <br /> Protect LocationSampl r Signatu o ,L v 0 C v <br /> m u7 <br /> a <br /> _r_ <br /> m _ ;! <br /> O O <br /> Sampling Container LU <br /> ethod Matrix E T m o N a s <br /> Preserved N m - E m 4 o w 0 y U N <br /> 0 0 <br /> Sample N � o o N m <br /> ca N cn N N d li p) N Q <br /> ID Date Time LU g o � n � a o — T 0 = � � o � a <br /> ui c i Cl) ui w w m ca n N ,�' m U3 �_ r v <br /> O U 0 u z a O C[ a s o m U O ca E `° Q LAB USE <br /> > 0 .- a = z �? z � W a m 2 � i" ►- IL o_ � Ln � � c°'n U � U � ONLY <br /> ul- I � � e-Yo A uoq(aC� <br /> M/W_ F111 11 —4 t"bovo.1 <br /> iE <br /> Relt cashed Date Time Received by Remarks/Condition of Sample <br /> J.I <br /> vv , o old o <br /> elinquished by Date Time Received by <br /> Relinquished by Date Time Received by Lab ratory Bill To� <br />