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ASSOCIATED LABORATORIES 71-t�j <br /> 806 N Batavia a Orange, CA 92868 CHAIN OF CUSTODY ECORD <br /> (714) 771-6900 o Fax (714) 538-1209 Date Page 12' of 2 <br /> CLIENT 1 I <br /> ADDRESS /�� �f� (sjf �/7 Z7�(J PROJECT MANAGER r �/ <br /> �^ YD9y— `� 0�OLL4 Samples Intact Yes 7` No <br /> ot qv-421 PHONE NUMBER - County Seals Intact Yes No _ <br /> l✓�0 b�� 9J -' 0 Sample Ambient_Cooled Frozen <br /> PROJECT NAME S MPLERS gnatur Same Day 24 Hr <br /> C �A S - S 7 L L 6 �, Regular 48 Hr <br /> r SAMPLE LOCATION SAMPLE TYPE NO OF SUSP TESTS <br /> NUMBER DESCRIPTION DATE TIME WATER AIR SOLID CNTNRS 1CONTAM REQUIRED <br /> ID -nood T04ql6TEX., v06s <br /> Relinquished by (Signature) Receive (Signature) Date/Time I hereby autorize the performance of the above <br /> ' (N 0 r )� indicated work <br /> Re quishe by (Si ture) Received by Laboratory lor analysis Date/Time <br /> (Signature) <br /> Special Instructions f t, l <br /> 41ML'C-stU-5' EP14 McM061 96 51�fqd �I4 yt)zo(3TFX) y2kU (VUG S AISTR415UNWhi ith report Yellow to AL, <br /> Pink to Courier <br />