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x i <br /> 1 !r aMM <br /> s e c n ) r.s. Or <br /> CHAIN-OF-CUSTODY RECORD <br /> FAWLER:(Signature) <br /> Date Shipped Carter <br /> PF,enC A3r1 itl�o. Cooler\o. <br /> Ii1P TO: SEND RESU lTS <br /> _.. Enseco-Cal Lab Client\►nx ✓ l+Y.l� '�.l�f'�`a�••�- "� <br /> 1544 Industrial Bltd. Company ekN,+l /r11'-�r= _ <br /> West Sacraracolo,CA 95691 Addr<.. _ <br /> (916)372-1393. �� °`�"fi <br /> ATTE%TIOti; Phone <br /> PROJECTNAME� ,-.,/W,(} si(/K�1 PROJECT NO. 7920_Z P.O.so. <br /> RcliF6quished by 4s rcfure) eccivcd by (S+ ,Ia !7e' Dale Time <br /> RV'b�'(Signalure) Received b'y: (Signature) � D?.le Time <br /> r r'Z•t]' quashed by:SSigrafi4re) ;' Rcc-;red at <br /> lab by: (Signature) Date Time <br /> Relinquished from lab by:(Sigrcture) ReceiVed`by?(Sigralure)-` Date Time <br /> lam' <br /> ANALYSIS REQUEST S_• <br /> .� Sample ID Sample Date/Time Sample-'Jondition <br /> Number Description Samplcd Analysis Requested Upon Receipt,_ <br /> 1 10.�I3 f?GIff 52X /f1> Gad <br /> " <br /> 1Y,,/1 fflql. Nell rl <br /> Special Instructions/Comment:: <br /> ' TE• IN ED P.O RTIONS OF NON AQUEOUS SAMPI ES «'ILL BE R1rTURNED-TO CLIVNT <br /> _xpecledr ` <br /> r <br /> `"'A -lyrical Immediate <br /> i,_:Tls' Attention {]DOK rureharre) RUSH (ao.toa% rvrctarre)''' Standard <br /> . a[ Lab ID Number: (for lab use only) <br /> /� L�� YJClient Retains white Copy Only (R�rGed 1/b T) <br />