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.— BCH & Associates Ltd <br /> Phone (816J 879-1950 Associates, Send Results 7o BCR s Associates Ltd <br /> FAX (816) 879 8460 <br /> Chain Of Custody R�eICO/i'�i b 3550 Watt Ave /140 <br /> equest for Analysis Sacramento, Callfornla 95821 <br /> Site Address- ` ,+.,. .>- C)c )ki0 _� sample Condltlon ` <br /> 11 Chilled and fntact ❑ <br /> Project Number q rnc�s_ SIU .2U 96 j p�+ leo Headspgoe or Air Bubbles ❑ <br /> f <br /> I Shipped By: R El <br /> Shipped To. G (ol` bate Irregularltles <br /> E Sample Location Field Sample a?e Matrix No. of Analysis/Comments <br /> Identification Containers <br /> --4 <br /> ' —12 w- <br /> d 4 LACI ds ce y <br /> ft vokc.& 4, MOS #,, <br /> 49 14ri(/ry C S <br /> Cf F4x <br /> Sampled By: Date/Time- <br /> Sealed For Shipment By: Date/Time: <br /> Relinquished By: <br /> Date/Time: <br /> Relinquished By: <br /> Da#e/Time• <br /> 1 Recieved For Lab B C-- 4E:5 <br /> -- ad qct �'.� <br /> By: Date/Time /0 to C <br />