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Chain-of-Custody Record N 1480 Date E <br /> Project No.: C 3 a.j ! 7 9 ANALYSES REMARKS <br /> Samplers(signatures <br /> II W Additional Comments <br /> (t]APP,QA samples etc.) <br /> o m co 4:0 co <br /> c <br /> m � n n 10 n co V U <br /> 0 C t t r ou o <br /> a m u <br /> o va <br /> Date Time Sample Number o ry a a a a a a a 4 I- V v X11 u LLIA} W W W W F ♦- W H <br /> 1ff6:3MW-Z. �� `x, 5 6T-E7� �y gpZO <br /> OzA'c. -� •1'Z8 Mv+fr� !` s PAlrs �y g� sv <br /> G - L( i'Z 2-0 MSN-3 �CX,X5 {y 1 <br /> 1�:rS PAW— C 5 C,y C <br /> !� AS CaASoL,H£ <br /> TICAVEL; W X Z <br /> CID - CLg AS bIEsicL <br /> TE H Rs CP-uP Lc C"L <br /> i <br /> Q�uAJ <br /> 0U <br /> Turnaround time: Results to: , zz <br /> J <br /> 12,4,q�}L 1 UJEL�K rLL T FF��esOA/ Total No.of cvntatner5: <br /> Reli q fished by(si at r �a�e: inqui by(signature): Date: Rellnquished by(Signature): Date: Method of Shipment: <br /> !//!/� <br /> Prii}to�Name: 7 rin d Name: Printed Printed Name: Laboratory Comments and Log Na: <br /> .EkM!� I Time: I � A(,-A011JO Time: Time: <br /> Comp ly: v Il] Cv any: � r* ^p Company: \ <br /> f�U <br /> Rereived by( gnature): (Date: Re eived by(signature• Dalt Received by(signature): Date. <br /> Printed Name: Printed Names Printed Name: C3aomatriix Consultants01�V <br /> #1 <br /> �d Time: f , Time: Time: 2444 Main Street,suite 215 <br /> Company: ! S+> t V Company: Fresno,California 93721-2734 <br /> Company- <br /> � 1v [205[2fi4-2535 <br /> [205]264-7431 FAX <br /> Distribution: white,Yellow—Laboratory Pink—Originator <br />