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rrl■�r son <br /> i*SSOCIATED <br /> LA®ORATORIES <br /> 806 N Batavia C Orange CA 92868 CHAIN 9F CUSTOD <br /> ECORD <br /> (714) 771-6900 a FAX (714) 538-1209 <br /> Date � �`� Page of� <br /> 'CLIENT 1 � 0 �T MQQ(Z <br /> PROJECT MANAGER <br /> ADDRESS ,5 �— ' Iv RG-EfL Q�. Sum 22.,0 I \f Samples Intact Yes X No <br /> 1 KL C c[467- 1 P TNE BER O � �sURZat_t_4 County Seals Intact Yes No <br /> i p Q Sample Ambient_ Cooled�� Frozen_ <br /> PROJECT NAME SA P ERS (Signal Same Day 24 Hr <br /> ['4LTV- NS QRST �T 5,�r���=NG rj�6CIft Regular_ __�_. 48 Hr <br /> SrSMPLF 1YPE <br /> SAMPLE LOCATION DAT;- T1 F NO OF SUSP <br /> NUMBER I DESCRIPTION WATER AiR I SOLID CNTNR; CONTAM TESTS <br /> REQUIRED <br /> { I 5TOCK70 0 <br /> QC-S1 <br /> J <br /> 7fnvC,,V <br /> j-g <br /> 4 <br /> -F1 cK!AW-ld <br /> svocii.C1vtw->ti <br /> Relinq hed by (Signa ) Received by (Signature) Date/Tame I hereby authorize the performance of the above <br /> indicated work <br /> Reli quashed by ( alure) ReCety r anal sr Da /T:me <br /> (Sign <br /> Special Instructions ' <br /> DISTRIBUTION White with report Yellow to AL <br /> Pink to Courier <br />