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i <br /> 300 Broadway Street `� <br /> __ <br /> Exeelch Eureka,CA 95501 CFO, -OF-CUSTODY RECORD AND ANALYSES RE <br /> Environmental Labs Ph 707-444 0120 Fx 707-444 0560 <br /> Project Manager Phone# 9 (� Electronic Data Deliverables q est <br /> Global I D # l-�' G 0 O Email <br /> �Gt�✓t l 5 Y 3d Coc # Z / <br /> CompanylAddress Fax# 9��, Location ! D # <br /> /t/u 35{C r 1 � ANALYSIS REQUEST Pa a of <br /> �iv•�, Wet 8in# Zl <br /> roject Number/P O# Jc [� Project Name <br /> _ LL <br /> Tota! N Due Dale, <br /> ocoL <br /> Project Location Sampler Signature oN NNn co <br /> LIJ <br /> Uco W <br /> d <br /> Method N N <br /> Sampling Container Matrix N (n a m o N <br /> Preserved m E v o o 0 - ° �, T <br /> N 9 � N 00 N O <br /> c0 a0 N C m — vi <br /> C7 N TO 00 W Cz � C Q <br /> Sample � � N � � � N � � � L <br /> 1 D _ °° _ 6 <br /> Date Time w U m � 0 m o 0 <br /> � Q H co w Ls w co M O N x t o , v U LAB USE <br /> Lu U)C7 ¢ [� 0 u� p a o ►m- n=. 0.. o aa) Co O 0 °' v 0Ei Q in <br /> iONL��Yii <br /> O _ r a L) z v z ¢ m F a M � 0 � _J u} U _J U <br /> 6-17-1 �z'31 <br /> tttr <br /> Relinquished by Date Time Received by Remarks/Condition at Sample <br /> kA��/ r� � <br /> el,ngwshed by Date Time Received by <br /> Relinquished by Date Time Received by Laboratory Bill <br /> X201 <br />