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FGLENVIR' UMMENTAL <br /> ANALYTICAL CHEMISTS <br /> CHAIN OF CUSTODY <br /> I <br /> DATE: J� Ir�J39 <br /> CLIENT: <br /> d0 —� <br /> ADDRESS: <br /> PHONE NUMBER: <br /> PROJECT NAME: <br /> PROJECT MANAGER: ,,rL <br /> SAMPLERS: <br /> Sample Location Date Time Number of Tests Date <br /> Number Description Sampled Sampled Containers Required Needed by <br /> + 4-7- 9 SB 2 - 4 0 - � !z(8fa9 PM I .. 13�)L4TPK <br /> I i I <br /> 5 B 3 — 40 L t, <br /> — 11 SB4 - 3S t, Pm I � t� <br /> 17– Sea4 — 4o �� 1 <br /> .L V t3 S BE --—"7-C � I L � 1 <br /> 513 .5 — 35 <br /> tL — 15 S 65 — 45 << � t� � � <br /> /.2//,?h 9 <br /> Re i inquis e t Received By: V 5ate Time <br /> Relinquished y: Received By: Date Time <br /> Relinquished y: Received By: Date Time <br /> MAIN OmcE- 853 CORPORATION S iRm- P O Box 272 BRANCH OFFICE_ 2500 STAGECOACH ROAD <br /> I &LABORATORY SANTA PAM4 CALUORNIA 9.3050-0272 &LABORATORY STCX XrON.CALIFORNIA 95205 <br /> (815)525.3$24-(W 6a'9-C910 am 952-0181 <br /> FAX (845)525.4172 FAX Q09)942-0423 <br /> I <br />