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i C0-10q <br /> :_.DIS ENGINE CONSTRUCTION, INC:- _ . _-=.. <br /> CHAIN OF CUSTODY / " r <br /> Transmit results to office checked below. <br /> REQUEST FOR ANALYSIS <br /> W33233 South Koster Road,Tracy, CA 9530RECORD . <br /> Voice: (209)832-2910 Fax: (209)833-1288 <br /> 0 1120 Hollywood Ave.No.3, Oakland,CA 94602 ,¢�,, „� <br /> Voice(510)336.9118 Fax (51o)336-9119 laboratory: <br /> Carrier: <br /> Proleot: _ �� ' CTO S-IZ4 . Waybill No.; <br /> Proleot No.: Projeot Mgr. <br /> Sampling Team; /P-r Z-- <br /> Site Global 1.0, No.: �. <br /> Sample Type Field 'Wellhead/. Depth to Date Time Analyses Requested Lab.Na, <br /> N rnber P011%t Surf,$lev. GW/Sample Sampled Sampled <br /> t � <br /> 1 <br /> , d <br /> r <br /> m <br /> !� o <br /> '. o <br /> j r N <br /> �. <br /> ;t n <br /> ;k <br /> Semple Hazards, Priority: Routine Expedited Q Special ❑ <br /> Nates; <br /> CUSTODY RECORD Print Nerve Company- Date Received Time Received Date Holinguished Time Relinquished Si lure <br /> Originator: 47Z- � Y7 1 1 /t2Ys.-" � <br /> Received/Relinquished by: AIuRM PmArOIAW3 1014 <br /> Received/Relinquished by. <br /> Received/Relinquished by, <br /> Received at Laboratory by: <br /> l' Ray.wo <br /> �� f <br />