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Chain-of-Custody Record N" 14 06 Date r _ Page Of l <br /> -- .r---------- --- -------- <br /> ProJe�cl'No.: ANALYSES <br /> y-_______ REMARKS <br /> Samplers(Slynatlir s): — <br /> w Additional Comments <br /> °1 IOAPP,CA samples,etc.) <br /> L O N Q C) m p <br /> N <br /> / 1 O co 00 co W C <br /> Q1 L D D D D 00 <br /> O <br /> N L N IC <br /> O C <br /> L D O <br /> - til `L p� D `2 �^ _N N 4- w0 <br /> Date Time Sample Number o a a a a aa= a= a = ` °' p <br /> -_- -- VI W W W W r-' r- W F U LL Q Z <br /> U=� lo.W 5g /� --- _ x k , RECEIVED <br /> USA _ (D'�lo 5 - -� 5 — -- —_ X x r GEOMATRIxcoNsuL Iki. <br /> U(:R — _ IDMS ��-7�Z FRESNO <br /> 0011 <br /> -/A --t-- —S — — — — — �` K <br /> I Ox" Jc-f <br /> 'S�t <br /> Turnaround time:,1 Results to: /�r� Total No.of containers: <br /> fWCyy,A L _ Int VE FFG��9r�J id <br /> Relinqu he b (sign e. Date: Inquis by(signature): Date: Reilnqulsl)ed by(signature): Date: Method of Shipment: <br /> --- - t - 2 <br /> Printed a e rill d Name: Printed Name: Laboratory Comments and Log No.: <br /> Time: —� Time: <br /> _ I ►�'� A�F1U iry J rime: <br /> Company: 1 J Co i ny: /J <br /> vvQU Company: <br /> R Ived by(s nature): D te: Re f by(si t 1: Date: Received by(signature): Date: <br /> Pni ted <br /> ame: Prii tetl Nai ie: �� Printed Name: <br /> �� Geomatrix Consultants <br /> Time: —�21�i__—� 11 Time: <br /> [ L� LA. Time: <br /> -�— D --- 2444 Main Serest,Suiee 215 <br /> COmpa -----� '��� Compa (tiCompany: Fra t.',o.Calif urnia 93721-2734 <br /> .�_� [Jm 1205)264-2535 <br /> _ <br /> _L—A _ 12091264-7431 FAX <br /> Distribution: White,Yellow—Laboratory Plnk -Originator <br />