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CHAIN OF CUSTODY RECEIVED <br /> NOV 10 9989 <br /> DATE : CI 21 S� ENVIRONMENTAL HEALTH <br /> CLIENT: T? . TS+IYPERMIT/SERVICES <br /> ADDRESS: P a 3B-7 CA 5 <br /> J� <br /> PHONE NUMBER: 1 <br /> PROJECT NAME : (�5 f S . YY�2C �r+vcAr 12041119 <br /> PROJECT MANAGER: LLan,� «( C1^1Sy� <br /> SAMPLERS: �L/ IL QrOC,�— <br /> Sample Location Date Time Number of Tests Date <br /> Number Descri tion Sam led Sam led Containers Re wired Needed b <br /> -rE P , <br /> Z Tt K t w,VEST C� 7-71 189 31- T1 0 H1 <br /> C4-IrkGC FI <br /> I B orf £D <br /> i <br /> Relinquished By: Received By: Date Time <br /> i <br /> Relinquished By: Received By: Date Time <br /> Relinquished By: Received By: Date ime If <br /> MALN OFFICE BC3 CORPORATION STREET- P.O. BOX 271 BRANCH OFFICE- 2500 STAGECOACH ROAD f <br /> k LABORATORY SANTA PAIP.A,CALIFORNU 930601)<;2 k LABORATORY STOOCTOv,CALIFORNLA 95205 <br /> (BCE)5253824-(80.5)659-0910 <br /> FAX R09)942-0781 '1 <br /> OW 525-1171 FAX (209)942-0423 <br />