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Nov 12 2003 4: 41PM H RSERJET 3200 • p. 2 <br /> Pmieamme Requested CNAIAFOF-CUSTODY <br /> FREY Environmental, Inc. r2'YDM LC 10-1 _ Analyses RECORD <br /> PmjBC1AEtlR61 <br /> 2617-A Lafayette Avenue g Page ! of y <br /> Laboratory Project it: <br /> Newport Beach, California 92663 ?_ <br /> Pmjact Number � � J <br /> Phone:949.723.1 e45;FAX:949.723.1e54 .. �� 06 `, j) 3333 <br /> 3 0 0 + <br /> Contact: FVh+J J6TT w Q a <br /> Sampling Sampling a RR 1. C) Comments <br /> Sample ID a Time ID h z <br /> 7 113 v3 : Zo S ' p< X <br /> 40 X x £• re u <br /> X <br /> t U: of <br /> 1.Rellnquishe y 2. Received by Turnaround Time: <br /> �j '/ / Special Instructions/Notes: <br /> Signature: x Signature: x �+ t [ 'G��' PLrz t yx COPY OF 7W-- <br /> DateTme: II O 03 Dalefl'ime: LA6 <br /> 3.Rellnqulshe by 4. Received by -DIak ABfcl; <br /> ias— 34,5-5 <br /> Signature: % Signature: X <br /> Sample Condition: Sealed? Y / N <br /> Chilled? Y 1 N <br /> DaleRirre DalelTime. <br /> ♦RA «/ INS P. O. Box 2243 Telephone: (688)753-7553 <br /> ���AF a.rr r■9WM, Huntington Beach, California 92647 FAX: (T74)840-1584 <br /> I <br />