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E21C, Is Phone LABORATORY CHAIN-OF-CUSTODY REWD <br /> environmentallanginee ring consultants [4081 747 1414 <br /> esAvenue, Suits 200 Fax a-ec,)(- Ae m ANALYSES REQUESTED <br /> Sunnyvale.nnefCA CA 94089 (ode)74S 1089 <br /> Site Name and Address Project R <br /> / ,r� 0 <br /> !r1 7f 2-J c1 q a <br /> O <br /> Sa Isir � Company <br /> // }} p <br /> Q <br /> Matrix Preservation ° r i 03 v o t <br /> C 1 O O O N N M <br /> C ut w` � m � W O G. <br /> Sample I D c J ra W t7 W J b O O 03 O N N to <br /> G O F- A Z v TIME DATE Location of Sample X w 0 ,o 0 W W � 9 <br /> W o <br /> 30 x m w w w w w w i�rf <br /> i3Z- s- �f Y `� 1 h- <br /> r?21 �. <br /> r?Z—Z <br /> 0't- zl 1 V" <br /> Vo- <br /> TURN AROUND REQUESTED: SPECIAL INSTRUCTIONS The following MUST be completed by the laboratory accepting samples for analysis <br /> 0 24 HOURS ❑ 7 DAY 11 Have all samples received been stored on ice? <br /> 1148 HOURS ❑NORMAL n ejZ�•a.��c� 21 Did any VOA samples received have any head space? <br /> ❑OTHER 31 Were samples In of i ro nate containers and packaged properly? <br /> Relinquished by sampler Datq, Time Received by COOLER TEMPERATURE <br /> Relinquished by Dale Time Received by For Lab Use Only <br /> Relinquished by Date Time Received for LABORATORY by <br />