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I rare Analysis Laboratory,Inc- 6112 Tetephone (510) 783-5950 <br />' 3423 investment Boulevard 08 • Hayward California 94545 Facsimfie (510) 783-1512 <br /> w r <br /> C14AIN OF CUSTODY RECORD <br /> Proj.No. Project Name T <br /> 1)13- I . No Analyses_/1- // <br /> Company Name and Address- <br /> 6 <br /> 1N2 5 A S-,ur4 C_ AL� of <br /> iftk&tre22. <br /> / <br /> Project Manager �_�v$ <br /> Sample Date Time Site Location Con- <br /> ID tainers //`� // // // / REMARKS <br /> co <br /> MWS �=�5 <br /> WWI <br /> 5 p ed by: ere Date/Time ReAiinquishe s nature} pate/Time <br />' Received by: (signature) Date/Time Relinquished by. (signature) Date ime <br /> Received f tory by: (signature) Date/Time TURNAROUND TIM <br /> R MARKS San a rece1pt must bg fill-ed_ in. )_lab . <br />' J Ice or Amb lentPreservative: GSA) <br /> �n.a-I 1 �✓ r �i �2- r av r �,..,T� Z 3o H e a d s a_ <br /> Container Type: <br /> 1g 1 �fumber of Containersz __ <br /> . Other <br /> Founding Membur of the Association of Calrlorn,a Testing Laboratories <br /> {SAA Cdt C I�J41NR�N l�N t 7T GT'R!ATG 7 F!P T7 Dr,/GA,e7A <br />