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P <br /> AIR TOXICS LTD. 1-11325 SUNRISE GOLD CIRCLE, SUITE'E' <br /> RANCHO CORDOVA,CA 95742 <br /> AN ENVIRONMENTAL ANALYTICAL LABORATORY (916)638-9892•FAX(916)638-9917 <br /> CHAIN OF CUSTODY RECORD Page / of � <br /> F 5 <br /> �Z <br /> PROJECT# -)( PO # COLLECTED BY (Signature) ' �`— <br /> REMARKS <br /> z <br /> FIELD SAMPLE I D# SAMPLING MEDIA(Tenax Canister etc) DATE/TIME ANALYSIS VAC/PRESSURE LAB I D # <br /> W_ <br /> /0 �'r`1 ,.1 �T•. c l 0 5 /I I TPl-I- f' <br /> §Ea <br /> f Zr <br /> l <br /> '! t <br /> 1 <br /> Yh` v <br /> Y <br /> RELIN DISHED Qy DATE/TIME RECEIVED BY DATE/TIME RELINQUISHED BY DATE/TIMEk RECEIVED BY DATE/TIME <br /> Sig-UPPER IAM AIR # Y P��Ep_ °t NPITION <br /> r aL <br /> REMARKS` ' -' ` <br /> tl <br /> y y } <br /> P ,� <br />