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PRECISION ENVIRO-TECH <br />CAAIN OF CUSTODY <br />AND ANALYSIS REQUEST DOCUMENT <br />Sampler (sL_aQj� <br />om osite ,ampler u <br />Date. <br />'-�Time:-19*�_ <br />Subject; to Surcharge Field Sampler: <br />Time 3,Elage: <br />Sample 'Cemperatare: 1' ! Celsus <br />Leaking. t) Broken. ( ) VOA Headspace <br />Custody Seal ( ) yes ( ) no <br />)Ice Chest i X -PS ( )Fed Ez ;=V'a'p oif <br />3935 N. Coronado Ave. * Stockton CA 95204 * Telephone (209) 477-8105 * FAX: (209) 546-7497 * Email: jhvie®petallab.com * www[—page 8 of 8 <br />