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�a � <br /> ASSOCIATED LABORATORIES <br /> 806 N Batavia• Orange, CA 92868 �� CHAIN OF CUSTODOECORD <br /> (714) 771-6900• FAX (714) 538-1209 <br /> Date Page of <br /> L <br /> ENTPROJECT MANAGERRESS v^�' J�/`� Samples Intact Yes No <br /> " <br /> K" C4— Z� PHONE NUMBS / County Seals Intact Yes No <br /> LflO C��3 — Sample Ambient— Cooled— Frozen_,,,_ <br /> PROJECT NAME SAMPLERS (Signature) Same Day 24 Hr <br /> �C r7r� Regular 48 Hr <br /> SAMPLE TYPE NO OF SUSP <br /> SAMPLE LOCATION DATE TIME CNTNRS GONTAM TESTS <br /> NUMBER DESCRIPTION WATER AIR SOLO REQUIRED <br /> Sf�-L 312 ��- <br /> Sl <br /> S cwt; 3 #36 <br /> S C(6 tMC,�v <br /> LVI <br /> Relinquished by (Signature) Received by (Signa e) Date/Time I hereby authorize the performance of the above <br /> indicated work <br /> Relinquished by (Signature) Received y OWfora alysis L)A�0 Date/Time <br /> Ps (Signature) <br /> Special InstructionsJf <br /> DISTRIBUTION While with report Yellow to AL, <br /> Pink to Courier <br />