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��Iter li>t� iiitir +ter irwr M■rM t d� till �t�rr ��rr �i■■irr r>_r +ter i� �� r>� <br /> ASSOCIATED LABORATORIES �� <br /> 806 N Batavia U Orange, CA 92868 057 CH 1N 9F CUSTODSECORDG <br /> (714) 771-6900 G FAX (714) 538-1209 Date 2 al) Page_ of <br /> CLIENT vO h'I <br /> ADDRESS o G� Lj ��� PROJECT MANAGER <br /> V pls L c Samples Intact Yes No <br /> NUM <br /> PHONE NUMBS <br /> I G County Seals Intact Yes No <br /> [ter' <br /> j/�, 13 j-S GYb Sample Ambient— Cooled" Frozen_ <br /> PROJECT NAME SAMPLER ( gnaSame Day 24 Hr <br /> 9J / �,i ture) Regular 48 Hr <br /> SAMPLE ! LOCATION DATE TIME SAMPLE TYPE NO OF SUSP <br /> NUMBER DESCRIPTION WATER Aifl SOLID CNTNR] CONTAM TESTSREQUIRED <br /> 2�2 Z 16z"l 'S -WIPH 4)97 r.,6,8 <br /> pit''/lSAvo <br /> w13� P �/V-7 <br /> wl9 sf 3127 Z Z6 <br /> G+�wZvs/ ° 3 <br /> w�sS 31z7 /Z33 <br /> VP <br /> Relinquished by (Signature) Received by [Signa re) Date/Time I hereby authorize the performance of the above <br /> indicated work. <br /> Relinquished by (Signature) Receivedby L fo anal sis '�� 0 Date/Time <br /> (Signature) H-00 <br /> Special Instructions Al <br /> DISTRIBUTION White with report Yellow to AL, <br /> Pink to Courier <br />