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' Calscience Environotal Laboratories, Inc. �HAIN OF CUSTODY RECORD <br /> C] SBGILabttalPry ❑ NwCal SeMre Curler Dale I(9' 10 -07 <br /> ]MO Lambda Way 506]Cvmmetial LilGe.9utleH <br /> Garden G..CA92MI-142] Cwlcgrd,CA94520d5]] 9OI <br /> (]14)895491 (925)OM022 Page <br /> 1 LABORATORY CLIENT CLIENT PROJECT NAME I NUMBER PO N0 <br /> -r-ICA- P F' E /OSS <br /> AODRESS: y <br /> O ?ON 1T 'LY PROJECT CONTACT: UB VSE ONLY <br /> CITT STATE 21P �a,ANrfMt- (/--Ha1A <br /> W2 B SAMPLEa151:(PRINTI COELr L00000E CWLERRECEPT <br /> iEL ENMIL .J STS w <br /> S�fudee TaQ '�'�' k iPG4 STwI} ❑❑❑❑ TEMP T <br /> TLMIWROUNO TIME REQUESTED ANALYSES <br /> ❑SAME DAY 0 2 HR 0 4 NR 0 7 HR ❑5DAYS C1 10 DAYS <br /> SPECIAL REOVIREMENTS(ADDITIONAL COSTS MAY APPLY) Q � m <br /> ' ❑RWOCBREPORTING FORMS ❑ ElCOELT EDF <br /> SPECNLINSTRUCTIONUCTIONS <br /> no <br /> 1 LES LITE STNS TP <br /> m _ a < finDO <br /> lJ <br /> ' w a e dI E m o e m d m 3 a n o q J <br /> HELD POINT NAME SAMPLING no — I OF C' W p U U a N <br /> USE SAMPLE ID FOR COELT EDT))ONLYdo <br /> GATE LIMEHATIFIX AATRX HO d d d m . O s Oj U 2 V O n <br /> q S'fK- IM - aS /D-/o-oT 'a:Su as (-GAE- F a x <br /> ' 31 ssK- 1, - sD e:dS x <br /> 32 Sr'b- 11 - Ys B:Sd X X xl/qZ- <br /> Relinquished <br /> 33 SIR" is 0.S B:i <br /> 3 srF--(,. - 1.0 S.3M ><- <br /> 3.5 <br /> 3S 311 - 1,, - 3.0 0:`/d <br /> 36 srk- so e:sa <br /> 3T 51)E- 10 1/ - q:Os x <br /> `3 sTl�-13 ' v.S 9:00 <br /> srr" 13 - S-o 9:/yWl � <br /> Relingaisnee by:(Sgnaw,A) Receiv by Dale: <br /> to//-b by:(Sgnalule Retrive by:(SlgnaluafAPli I.n) Dale: Time' q <br /> [. s 0// e7- 0%�0 <br /> Relinquished byysignmule) Ramivee by:(Si,odo.lfrar0n) <br /> U. rime: <br /> a <br /> a <br /> DISTRIBUTION:A1*.MN final RNgR,Green eN YeIbw10 C1Dnl. ONDIror RBvzion <br /> Ivleeee ode Ibil wgea t Ona 2 n12 mdur rrcs are pdmee M me merse eine Dobe gmn and Yedaw Wpkz rezpecfrvely <br /> C Calscience Environmental Laboratories, Inc. CHAIN OF CUSTODY RECORD <br /> e 9.C.I Leland. NBIGI 6ervim Centel <br /> it o " ❑ Data <br /> Ga DnGom Wry sWxl CA 945204577 <br /> suileH <br /> (71%8Glove.CA 92841-142] COncm89.9022 20.05]] S of �6 <br /> (]14)895491 (92516099022 Page <br /> I17RY CLIENT: CLIENT PROJECT NAME I NUMBER: RO.NO.: <br /> r P tt E /O3.S <br /> AGDRSss. <br /> I 13?OG ✓ P W �./2z vamECr coxrncr / La'USE <br /> oxLr �(} <br /> CITY STATE 21P �yNrGH( y/u�A L�J � ® 12 R R <br /> Z/yj E C L/B MP ER ):PR1N COELTLODCOOE COOLER RECEIPT <br /> TEL EhIAi: �RSrA9 V$. ❑❑ ❑ <br /> jqq -d///L14 .C�.wMI Pv-R- M p TEMVP 'C. <br /> TURNAROUND TIME. REQUESTED ANALYSES <br /> ' ❑SAME DAY 0 2 HR C 4 HR 0 7 HR (35DAY5 0 I DAYS <br /> SPECIAL REQUIREMENTS DUDDITIONAL COSTS MAY APPLY) 33 ryr <br /> ❑RWQCB REPORTING FORMS ❑COELT EDF ❑ J O <br /> SPECIAL NSTRUCTONS: _ <br /> O d <br /> I <br /> did <br /> m = �p � a � $ dt <br /> 6 <br /> No 0 q' u m So He C t. ,� <br /> Las FIELD POINT NAME SAMPLING B. n n 2 1x (J U O 'a " >_ <br /> DIE $pJAPLE ID (FOR COELT EOF) D- F p O > U Z IY Y O <br /> IOONLY DATE TME I'P'TPS LOxT. F h > > N d O. 6 F O 1 I— <br /> '10 S - S •5 I°"la-a} 9'.5e Jo.l I-S <br /> kl LS a:dS <br /> Si -I - 5.0 /d:b <br /> 5- - -8 //:PS <br /> 451 Sir_ S- 1.0 O:SA x <br /> ' rK- Is' - .0 /0:VD X, X <br /> SrK- IS - <br /> /O:S0 <br /> $s <br /> ' Relinquished by,(Signawrel Rice' by( alure/ " Dale: Tine: m <br /> l /e fvza <br /> RNinquNhed by:(Signature) Reui M by'.( gnelurelAMlkfwn) Dale. T Y <br /> C o <br /> Refiqukhad by:(sguku.) Reu dby(Signaidoluddaidan) mle Tine O <br /> D <br /> DISTRIBUTION:NTYe Mlh final ttpO4 Grein and Tllbw la CIknL 0501 Reel <br /> Pkau nqk Thal pipes I and 2.12 beWr TJCs aro pdnled On the reverse side piths gIOM end YOlkxcpgn rxpedti+ely. <br />