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El`IVIROI`IMEI` TAL Weekly <br /> CHAIN OF CUSTODY <br /> 7CO � , k' <br /> Laboratory Copy (t of 3) <br /> NIJIME1( _ 30007:04/0sf20P1 TEST DESCRIPTION - See Rcveru side fnr Coweer,Plvwe ativeandSam li infinve alion <br /> Well Inc..Cbor' Wayn,CA 95205 0 <br /> 2.7676 Fax: (2090625%7 <br /> Mike Clark ` a� <br /> Project Name: pll,a.�R 0 <br /> r 1 E <br /> Purchase Order Number: O �' <br /> w <br /> 1 6 <br /> I/ OW <br /> F "Inp.110r Setup Dale;_/_/ Time: O [^: <br /> q <br /> L k 7 j <br /> p Loh Numher: STK � <br /> w. }130.1 0 _ <br /> Sam o <br /> W Num Location Description Dam Time yr� a p O <br /> Sampled Samplod S F t0 U Y�r <br /> 4 I TnO a 2, O Src <br /> er <br /> r— <br /> c. <br /> N <br /> N <br /> O <br /> H <br /> w � <br /> w emarke�/O ��` 31,90 Relinquished M l/ Date: ,JTime: Relinquished Dale: Time: Rel wished <br /> � "•rWl�{� S�l�� �•30 Date Time, <br /> ceived By: Date: Time: Reaivrd B <br /> 0 Y� Date: Time: "ved By: ate: ime: <br /> b PO.BOX 272/953 Cor0oraeon Srmel Orli 6i-sboralory <br /> O Sanra Paula,CA 93061 0272 2500 sla9ercaM Road Flel__A DRI�t <br /> I Ft (605)392 20no Slacalon,CA 95215 Walla,Celilornia <br /> VAX laosv525a1)2 TEL (209)942.Ot91 TEL (55%77 9073 <br /> FAX (209)902 0123 l.lobae (559)731.2%99 <br /> FAX:(M93 r3a-9439 <br />