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I Cl <br /> 771 <br /> N <br /> Gh l� -©f-Custody Record W Date S_� _9� Page ' of <br /> o Project No_ C 3 Ll ! 9 ANALYSES q REMARKS <br /> �I Sample (Signatures): <br /> Additional Comments <br /> L <br /> 0 0 n c (4APP,QA samples etc-) <br /> i o 0 <br /> W ILI J- <br /> co m m <br /> V <br /> s ° <br /> o a 0 m <br /> 5 ° o c <br /> m m m CD fl n t� m cai <br /> O X. Of -0 d O <br /> Date Time Sample Number N w w w r � W 0 w a <br /> U ri Q z <br /> k s- rr�/a w -z z <br /> PI-EA-SC CgEcl� <br /> (7U5 <br /> r�A ys <br /> x <br /> I-4 <br /> ix <br /> ±EE TT <br /> 0 <br /> z. <br /> i <br /> r, <br /> N <br /> N Turnaround time: Results to: �'} <br /> CO �6 kM i1 / T t-L T�� �QN Total No.of containers: �/ <br /> n rf[r �l f C1 <br /> 0 <br /> -+ Reli Ished by gn e):• Date: Relinquished by(signature): Da Relinquished by(signature): Dat Method of Shipment <br /> Ca ttie -- ot"j <br /> Prigtto Name: �/ Prin Name: Printed Na Laboratory Comments and Lay Noy <br /> w / `G(2M1 / f,to Time: ;7Tima <br /> Time <br /> m any: Company: Cornpany- <br /> -� Co,��MA� <br /> R eived by(signature): Date: Received by lsignatur : Date: Received by(signature): D te: <br /> m <br /> Printed Name. Printed Name: <br /> Printed Name: 0f� G}eometrix Consultants <br /> Time: Time: �►fit-k M(L.LAn�L- Time: <br /> p 24 [4 Main Street,Suites 215 <br /> Company: Company./ Company: 300 <br /> Fresno,California 9372'1-2734 <br /> N�L 1209]264-2535 <br /> 1205)284-7437 FAX <br /> Distribution: White,Yellow—Laboratory Pink--Originator <br />