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• • • <br /> N? 001494 CT CHEIWITECH ANALYTICAL LABORATORIES (916)635-3962 CHAIN OF CUSTODY-LOG-IN <br /> PRDJ ME [ V) ANALYSIS a RESULTS VERBAL <br /> I LL z <br /> Yes ❑ No ElPAGE CLIENT bwAiN OF CUSTODY R p <br /> OF z Z �r a y DATE BY <br /> CHEM SAMPL£i D DATE TIME MATRIX U py ��� TO WHOM <br /> E TECH SAMPLED SAMPLED PHONE <br /> Ina k Q a I <br /> (.Ci .� �•/ �r, G c.G � 1 COMMENTS <br /> SAMPLED BY r, NT ❑ CHEMTECH ❑ OTHER <br /> REPORT TO <br /> t RECEIVED VIA ❑ FED-EX ❑U P SNT ❑OTHER <br /> INVOICE TO . -. <br /> ZIP <br /> ATTN <br /> ZIP <br /> PHONE - - -- <br /> ATTN PO # <br /> Re! fished by t at DatelFime Received by j&www ) <br /> FIELD SERVICES ❑ NO Cl YES ❑ ATTACHED FIELD REPORT <br /> dry /' �'+� <br /> Rahrq#W by tsgmEwst DatelTEme Received by (swome) DISPOSAL OF SAMPLES ❑ NO ❑ YES <br /> NO OF SAMPLES @RATE $TOTAL <br /> Aehrgwshed by rspmur.I DateRim_71 Ts R ed I Labora ry by <br /> I= CLIENT tsi'luATU Et <br /> � ,' L 1 <br />