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Caliiurnia Department of Health Servic" :� HML N a J W - to <br /> Hazardous Materials Laboratory <br /> •-e 41 '3.14 cl <br /> LABORATORY REPORT <br /> Date Received <br /> Collector's Name C\qnr{ � ��;,�-�,., by Laboratory y �� L.. � c;c� <br /> Sampling LocationL( A, ()rr,- Collector's Sample #t c.� to <br /> Analytical Procedures Used: .� _, Vitt t, <br /> MCA,\ <br /> Reference:{, <br /> ANALYSIS RESULTS: <br /> HIT Lcll i1z,r 5 d �4.�c c l Nc. <br /> R LIC '.1 <br /> j- <br /> 14 C <br /> -4C L- vcytZr <br /> �1 � 1LI � <br /> - 4c1 <br /> J <br /> Analysts ' Signatures: Sig re f Supervisi Chemist <br /> /S C--) <br /> <� date date <br /> 2. <br /> date <br /> California Department of Health Services - Hazardous Materials Laboratory <br /> nnn <br />