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Analytical Sciences CHAIN of CUSTODY <br /> P O Box 750336,Petaluma,CA 94975-0336 <br /> �1\/V) 110 Uberty Street,Petaluma,CA 94952 <br /> (707)769-3128 Lab Project Number <br /> Fax(707)769-8093 Client's Project Name NEW&C f.fET�o[bUM <br /> Client's Project Number AIV-57Z C04 <br /> Company Name Apex Envirotech, Inc GeoTracker EDF a No <br /> Address 11244 Pyntes Way,Gold River,CA 95670 Global ID <br /> Contact JENPIFEII W*5L-eSame Day <br /> Phone# 916 8510174 48 Hours 24 Hours <br /> Fax# 916 651 0177 5 Days X Normal Page of <br /> e-mail { <br /> '�� �'�'I"""alt'�`.�, %j!'11f14L'�'SIS'��•f-.'i� ,���,,'�-�-�a <br /> Date # Presv Lab <br /> Item Client Sample ID ALT ID Sampled Time Matrix Cont YIN Comments Sample# <br /> 1 <br /> 1 - 24 Ra- <br /> 2 W- E -z -C6ffg5 H2O <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 6 <br /> s <br /> 10 cc <br /> w!� <br /> �: s--w'" r <br /> Sampled By <br /> Relinquished By <br /> 4-/ o6 !!oa 5 O <br /> Signature Date Time Sign tura C Date Time <br />