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CHAIN OF CUSTODY R-CORG <br /> -- �, EC Log Number_ <br /> Client name ,t Jab number <br /> rr�td rte{ Analyses required <br /> F <br /> act name <br /> pralkt merrager _ plerlsl � 8, <br /> I rbc <br /> _ Sample <br /> Composite Qate' Time• art <br /> Number <br /> number sampled sampled Semple descriptionor 04 P A�J' <br /> Grob ..:ntainere Remarks <br /> Piz-Z j4;-( <br /> Z&A1, <br /> L <br /> A - s s: z <br /> .t G'rr C <br /> Signature Company bete <br /> Relinquished by Time <br /> r rt d k1w <br /> Raceh4 by Mg <br /> ReitrrquWrsd by <br /> Received by e <br /> Relinpujshetl by <br /> Received by. <br /> BROWN AND CALDWELL Analytical LaboratOries <br /> r� Nota: Samples are dlsrerded 30 days after results are reported <br /> L}1255 Powell Street,Emirvvllle,CA 94608 (415) 428-2390 unj=%other arrangements are made. <br /> j ❑373 S"th F A,Av.nue,Pasadena, CA 81105 (213) 6814655 Huardaus sampler Will be returned to client or dhporad <br /> of at client expanse. <br /> al <br /> 1 <br />