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NDIE` Z ENGINEERING AND CONSTRUCTION, INC. <br /> CHAIN OF CUSTODY <br /> Transmit.results to office shacked below: REQUEST FOR ANALYSIS <br /> W33233 South Koster Road,Tracy, CA 95304 �+0 � U 1 <br /> Voice:(209)832.2910 Fax: (209)833-1288 <br /> ❑ 1120 Hollywood Ave No,3�,O Jdend, CA 94602 Laboratory: <br /> Voice(510)336.9118 Fax: '(510)336-9119 - - <br /> Carver; f f <br /> Pro)eot; 7' ' Waybill No.: <br /> Projeot No,: Pfio)aot Mgr, I <br /> Sampling Team: .__ c fi� _ �.. �. w �a l .sz 0 <br /> Site Global 1.0, No.: <br /> Sample Type Fuld 'Wellhead! Depth to We Time Analyses Requested Lob,No. <br /> dumber Point Buri.May. GWI9amPIe Sampled Sampled <br /> C <br /> v <br /> 10 Y <br /> J <br /> 10 <br /> .2 ... <br /> . Sample Hazards; <br /> Prlerity: Routine* Expedited 0 special <br /> Notes: <br /> CUSTODY RRC&D Print Name COLONY Data Received Time Received Date Rel uished Time Relinquished Bi nature <br /> Originator: crit 'b,et"it E � � �f C y'3 l <br /> Received/Relinquished by, <br /> Received/Relinquished by: q <br /> a <br /> Received/Relinquished by: { <br /> Received at Laboratory by: <br /> o - itav,014 <br /> N F <br />