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1JIE?2 ENGINEERING AND CONSTRIJ I tvty, rrvc., CHAIN OF CUSTODY / <br /> Transnalt;results to office checked below: RIEQUEST FOR ANALYSIS <br /> 33233 South Koster Road,Tracy, CA 95304 RECORD <br /> Void: (209)83212910 Fax; (209) 833.1288 <br /> ❑ 1120 Hollywood Ave,No, 3, Oakland, CA94602 Laboratory, <br /> Voice(3 10)3369118 Fax: (510)336-9119 Carrier: <br /> Waybill No.: <br /> ProJeot No.: ProJeot Mgr, Sy O <br /> Sampling Team: 7� �1 /h,j, / v� <br /> Site Global LD. No.: Analyses Requested Lob,No, <br /> Snmpla Typo Mold 'Wellhead/ Dopth to Data Time y <br /> Number Palgt Surf.Elev, GW/8ampie Sampled Snmplod <br /> Priority; Routine �r Expedited ❑ Special ❑ <br /> Samp)e Hazards; <br /> Notes: 1 'fw !Z <br /> CUSTODY CORD PrintName om an DnlaRaoeived TlmeReaeived Date Ralln us ad TimaRalln ulahad Si Dature <br /> Originator, �� f Z/7 tl // Y D <br /> f/ $ elr z,� E <br /> Received/Relinquished by, 1l� �tiUrm ,1� t1Cs�1 12 I 1 t + 1 C <br /> Recalved/Relinquished by; <br /> Received/Relinquished by, <br /> Received at Laboratory by; Rov,010 <br />