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E n s e e o Pge of—L <br /> CHAIN-OF-CUSTODY RECORD <br /> A SAMPLER:�Srgnatnre) C.rrier <br /> Date Shipped <br /> Alrbill No. _ Cooler No_ <br /> "hone <br /> r-j; r^ <br /> Enseco-Cel Lab Client Nie <br /> 2544 Industrial Blvd. Compeay <br /> West Sacrainentot CA 95691 Address <br /> (916) 372-1393 Phone <br /> ATTENTION: <br /> PROJECT NAME f <br /> 7-1 f.1 CO PROJECT NO. 1`y _ P.O.NO. ' <br /> Relinquished by: (Signature) <br /> Received by:(Signature) Date Time <br /> w: Rclinquished by: (Signature) <br /> Received by: (Signature) Date Time <br /> Rcc eat by -ign re) Dat Time <br /> R n'sh by:( g alure d G 5� <br /> Si nate e) Date Time <br /> Relinquished from 1 : (Signalure) ceived by:( g <br /> am <br /> ANALYSIS REQUEST <br /> )date/Time Sample Condition <br /> Sample ID Sample <br /> Number Description Sampled Analysis Requested Upon Receipt <br /> 56 15 fble Tj <br /> t� � 3 � 3 �2• v <br /> Special Instructions/Comments: <br /> / D yV��;77W <br /> APRlL <br /> /V <br /> ----- -- ----- TE; N EDP RT1 N r N N-A E AMPLE WILL-BE-RET RNED-T -- <br /> xpected <br /> Analytical Immediate RUSH (sa-100% sW^Ah-P) _Standard <br /> T.A.T's Attention (z00%sttraher1o) <br /> Cal Lab 1D Number: (for lab use only) <br /> ;,. Client Retains White Copy <br /> Only (R.arisad 1/97) <br />