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CHAIN OF CUSTODY RECORD BCA Log Number, �� D <br /> Cl, nam // Project or PO# 7 Analyses required <br /> one# <br /> City ate,Lip a n <br /> � NY Samp <br /> Lab TYPe, Number <br /> Sample Date Time See key of f a G° <br /> number sampled sampled below containers <br /> Sample ay � Remarks <br /> /S- J tiliG.A-0,bF-A- <br /> v <br /> �✓ � f S VU ,Cht5 ,C <br /> Signa Print Name Company Date Time <br /> Relinquished by �N n N (2 //A— ] <br /> Received by � �� <br /> c <br /> Relinquished by <br /> Received by <br /> Relinquished by <br /> Received by Laboratory <br /> B C ANALYTICAL Note: Samples are discarded 30 days after results are reported unless other arrangements are made. 'KEY: WW—Wastewater SU—Surface Water SO—Soil <br /> 1255 Powell Street,Emeryville,CA 94608 (510)428.2300 Hazardous samples will be returned to client or disposed of at client's expense. SL—Sludge PE—Petroleum OT—01her <br /> J 801 Western Avenue,Glendale,CA 91201 (818)247-5737 Disposal arrangements: NA—Nonaqueous GW—Groundwater AO---Aqueous <br /> 1200 Gene Autry Way,Anaheim,CA 92805 (714)978-0113 <br />