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t� 7ASSSOCIATED <br /> LABORATORIES <br /> 806 N Batavia Orange, CA 92868 • CHAIN OF CUSTOD CORD <br /> (714) 771-6900 a FAX (714) 538-1209 Date Page 9-- of <br /> CLIENT <br /> ADDRESS S//zz &---, ygaa4e;e! Z� PROJECT MANAGER <br /> Samples intact Yes No <br /> D CCA-5 94 `' PHONE NUMB County Seals Intact Yes No <br /> S%D (,3.3 -,�'T-3� Sample Ambient— Cooled Frozen— <br /> PROJECT NAME SAMPLER {Sig t re} Same Day 24 Hr <br /> 77 fLT(1yt1 �j�y✓T� Regular 48 Hr <br /> S <br /> 11 SAMPLE TYPE F SUSP <br /> O <br /> SAMPLE LOCATION DATE TIME NO NO 0 i GSUSP TESTS <br /> NUMBER DESCRIPTION WATER AIR SOLID REQUIRED <br /> Relinquished by (Signature) Received by (Signature) Date/Time I hereby authorize the performance of the above <br /> (ie--157 <br /> e— indicated work <br /> Relinquished by (Signature) Received by Lab an ysis Date/Time <br /> (Signature) ��� <br /> Special Instructions <br /> DISTRIBUTION White with report Yellow to AL, <br /> Pink to Courier <br />