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Trace A z1a1vsJ,%a I,aburatory, Inc. 6 0 8 0 Telephone (510) 783-60-60 <br /> 3423 Investment Boulevard P8 + Hayward, California 94545 f=acsimile (510) 783-1512 <br /> ."=. .- CHAIN OF CUSTODY RECORD <br /> Proi-No. Project Name <br /> 10-q— �% r r- Analyses <br /> Company Name a d Address- <br /> of <br /> Project Manager <br /> ample Date 1'1me Con- <br /> ID <br /> on- <br /> talners / --/ / / / / REMARKS <br /> l <br /> '-2 a o0o Rel-- <br /> Sampled by. (signature) Date/Time Rel lnqulshe by. {signature) Date/Time <br /> -k C'U 12.20 C"'k 6 ( t� a <br /> Receiv by. (signature) Date/Time Rel1 ulshed by- (signature) Date/T me <br />' Received For Laboraory b re) Da a/Time TURNAROUND TIME <br /> � _7 <br /> RENtARKS 5amt� rece 1 pt mu be _f 1l 1 ed_ rt bT_1 �b <br /> Ice Ambient <br /> Preservative <br /> 7 — 2- % HeadsvaceContainer Type <br /> Total Number of Containers <br /> Other <br /> Founding Member of the Association of CpfOforniia resting Laboratories <br />