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3 p <br /> AIN OF CUSTODY NO-07 5 813 Page of <br /> CITY STATE ZIP CODE <br /> CONSULTANT'S NAME ADDRESS <br /> CONSULTANT PROJECT NUMBER <br /> SP SIT NUMBER BP COR ADDRES&CITY <br /> CONSULTANT CONTRACT NUMBER <br /> CONSULTANT PROJECT MANAGER PHONE NUMBER FAX NUMBER <br /> tA� <br /> BP CONTACT <br /> BP ADDR PHONE NUMBER FAX NO, <br /> LAB CONTACT LABORATORY ADDRESS PHONE NUMBER FAX NO <br /> tSHIPMENT METHOD <br /> SAMPLED BY(P asa-Ia4 f Name) SAMPLED (Signature) <br /> ]SHIPMENT QATEl AIRBILL NUMBER <br /> TAT: ❑ 24 Hours ❑ 48 Hours —] 1 Week Standard 2 Weeks ANALYSIS REQUIRED <br /> COLLECTION CONTAINERS PRESERVATIVE f- t/ <br /> DATE MATRIX COMMENTS <br /> SAMPLE DESCRIPTION SOILMATER TYPE LAB �l <br /> COLLECTION NO. (VOL.) SAMPLE# 1 <br /> TIME <br /> 1C <br /> _ 3 <br /> L t! W- <br /> S 150 <br /> Y3 , <br /> � I <br /> A1 — j `� ADDITIONAL COMMENTS <br /> ---BREL 1CZiRTO! DATE TIME <br /> cd t <br /> :) 5o ; <br /> o--� Z Lei <br /> L tA t1-1 I J) <br /> CLV-48722 Distribution: White-Original(with Data) Pink-Lab <br /> PKG/50 Yellow-BP Blue-Consultant Field Stall <br />