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rq, <br /> .y <br /> BS3:Log Number 7`' } ANALYSIS FIEOUEST/CHR. F CUSTODY RECORD L I Ul' I 'I <br /> -t goo A.*si.requ redCllenl Name / Piga �1G�9U <br /> 0. 44i <br /> ' <br /> Lab Use Orgy t <br /> Addy ssf p In this <br /> r/'es17Ui1� �/rJ 462 " '��Jd section <br /> City.Sta e, ip Report,allanibn -, sd'' <br /> kl�n C4 <br /> Data Time Samptad �. //%7P� r• !� �✓.t H wLab <br /> Sample Seub [{`SCR <br /> sampled sampled We.') Sampie do w. ntn.••,,w ( ,y Remarks '�✓/ <br /> ° AIS-6 5c VFW—� r�/ /�• <br /> Lr u 4�ZS(p <br /> VIN-1 Zze <br /> VEEW=/ o S jos-, fke o <br /> /Zoo V4SGV"� '�� ¢to,s' > °� 7` <br /> VENA/ *7 5/ / i /33 <br /> IMPORTANT NOTICE.No samples will be analyzed without an authorized Mgnalure In this section. <br /> 1 am hereby requesting 8Ws Normal ChatnabCustody Procedures for thiLabDve samples I understand that I am hereby requesting SSK's Formal Chalnd-Cuslorly Procedures lot the above samples.I understand that <br /> Viese procedures are generally consistent with those oullined L U. J1.SW 848 and that there is no these pracedmes ere generally cansistenl with those outlined In US.EPA Conlrad Laboratory Program Slate. <br /> extra thargs for this aanlrn ment of Yyerh,Section F,and that theta Is a charge of S504e per work order of S5'M a tattle.whichever Is <br /> .. greater. � <br /> air <br /> Halite Authotized Signature <br /> StgrrW PoGd Name company Dale Time <br /> s4P !� r�rr ,e�5' �p c 3�A/ /g, 5 <br /> R JdWA a— Ifn/ c.6�s 441�,.,Al ;, ' <br /> R ".Md by �--� ASM-t-r Nin/ -C .4 ✓ -,11151 3 L-- <br /> /� b 1 l <br /> Received by dn <br /> e , f` / I r 1•- ? - <br /> Reces ed by gA YJr Wee�ll�5 <br /> q AE1°�� V^'-�I.5 YEY: Type: SL-Sludge SO-Sail PE-Pofratsum O1'•-Other <br /> ' <br /> (/J'�`_ __ Seats:P-Presenl A-Absent H-Broken <br /> v & ASSO4 I / <br /> eS Chemical Laboratories DISTRIBUTION:WRITE,CANARY-LABORATORY PINK-ORIGINATOR <br /> mole: <br /> 1414 Stanislaus Street Fresno,California 93706 Samples are discarded 14 days after results are reported unim other arrangements are made <br /> TelcpV}one!r�{] 4815 831D •.F�17��(1�05)4A�J74n27� /�/��f, l//�11t1/I Hazardous samples will be ohnned to dieel or spo.,ad of at dierk expense. L t �� <br /> - Id,nn Tel.✓ 1 11. t i ,.-r_-i.. `,1 `•..,r1 ,�_rl• 1 \. �, .. ,. {Thr I a /•l. <br /> `� 7 <br />