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� � �.�► iii r�r � rlw■u �r t �t� lrr l� (r r r r r � _ <br /> SSOCIATED LABORATORIES CHAIN OF CUSTOD ECORD <br /> 806 N Batavia o Orange, CA 92868 I <br /> (714) 771-6900 o Fax (714) 538-1209 Date "lA Page of <br /> CLIENT U 4100 zab as <br /> ADDRESS �r CrIbC.f' 1r22v PROJECT MANAGER 0 <br /> rz 60P� LL14 Samples Intact Yes r� No <br /> C �f <br /> 'f6 24 PHONE NUMBERr �/ County Seals Intact Yes No <br /> 1'3 56 7 ri Sample Ambient_Cooled Frozen'_ <br /> PROJECT NAME SAM P ERS (SiZa—r" <br /> Same Day 24 Hr <br /> (A/-r,�/1n/S 5 ra Ck r-0 f Regular�L 48 Hr <br /> SAMPLE LOCATION SAMPLE TYPE NO OF SUSP TESTS <br /> NUMBER DESCRIPTION DATE TIME WATER AIR SOLID CNTNRS CONTAM REQUIRED <br /> 57Z(k-MW-I b � 01 1f'�o X VUGs <br /> rocWi l-z 7 5s <br /> ��1ckmW-3 6A.501 t3 <br /> P`io <br /> 14 bl l =vs <br /> .30 <br /> — r0cle-MW-7 /b-3v <br /> STDck KVV 8 (��(� 01 19,00 <br /> rU�kMf�r-9 <br /> q51011 [7-00 <br /> 117-20 <br /> sr�cicMt�r r I � � UI �7-ss <br /> TDcK�[W-rz 95-sa <br /> Relinquished by (Signature) Received by (Signature) Date/Time I hereby autorize the performance of the above <br /> P4 J e I o i indicated work <br /> 1 4 i} <br /> Re quashed by Ltignatureb Received by Laborat y for analysis Date/Time <br /> (Signature) 1 I` v2woN5�V eiL <br /> Special Instructions A /� TPN US1'n1 EPA Mefhot &01514T-PH9 (/:5('n F-PA Me fhb L44-1 <br /> ��L� �O1�M, 67Ex llSfYlG LPA Me-ModqOZt� D STRIBU ION h e with report Yellow to AL, <br /> Pink to Couper <br />