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Calilurria Dr,partrc <br /> , nt of Health ry <br /> Seices //f <br /> C1L _to <br /> Hazardous Milerials Leburatory <br /> LABORATORY REPORT <br /> Date Received <br /> Collector's NameBeIA �vy7t�f3L-�+P/ _ by Laboratory (-, 7 �/ <br /> Sampling Location ��L[o ._ } Collector s Sample <br /> Analytical Procedures Used: AC— <br /> nite & /7.A21c_N�t2oc� A/r22o ' ! • L7.0 <br /> Reference: HHS MF I/•- � <br /> ANALYSIS RESULTS: <br /> HHL it Co/% fors t�P� �,o�-�le. r f/ ell tom; <br /> D7 <br /> Analysts' Signatures: Sign rt� upervX <br /> Chemist <br /> _ /S) <br /> da _ date <br /> 2. <br /> date <br /> California Department of Health Services - Hazardous Materials Laboratory <br />