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-- DIETZ ENGINEERING AND CONSTRUCTION, INC. R -. <br /> -- - CHAIN OF CUSTODY <br /> Tennsmit results to ofice checked below-, o <br /> REQUEST FOR ANALYSIS <br /> 33233 South Koster Road,Tracy, CA 95304 <br /> Voice. (209)832-2910 Fat: (209)833-1288 RECORD LO-1 6161 <br /> ❑ 1120 Hollywood Ave. No, 3, Oakland, CA 94602 Laboratory; C1 ✓"�'" <br /> Voice(510)336-9118 Fax: (510) 336-9119 <br /> Project: a„� . Carder; <br /> j Waybill No;, <br /> Project No.; Project Mgr. - <br /> Sampling Team; - Z 3 j a �2ci <br /> Site Global I.D. No.: ` :1Rc4qucs?tcd <br /> Sample Type Field 'AQ11jendl Depth to Doty Time AnalyLab.No. <br /> Number Polnt S;rrE Elev. OW/Sample Sampled Sampled i <br /> Fi <br /> J <br /> a <br /> O <br /> Al <br /> r <br /> d <br /> I o <br /> • �I t N <br /> rj <br /> i <br /> Sample Hazards: Priority: Routine Expedited ❑ Special ❑ i <br /> Notes: <br /> CUSTODY RECORD Print Name Coitpany Date Received Time Received Dnte Relin uished Time Relinquished Si nature <br /> Originator, <br /> Received/Relinquished by: <br /> Received/Relinquished by: <br /> Received/Relinquished by: <br /> Received at Laboratory by; W <br /> co <br /> Rcv,0!0 <br /> I t._— <br />