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I <br /> FGLE,NVIRC)NMENTAL <br /> ANALYTICAL. CHEMISTS <br /> CHAIN OF CUSTODY <br /> DATE: !z r z 8 <br /> CLIENT: - �„ .c.�.r-c. • �, <br /> ADDRESS: ti� �9 <br /> U <br /> PHONE NUMBER: <br /> PROJECT NAME.- a-"• v� <br /> PROJECT MANAGER: <br /> SAMPLERS: <br /> Sample Location Date Time Number of Tests Date <br /> Number Description Sampled Sampled Containers Reaulred Needed b <br /> Jt 15B4 - 35 12-111189 FM I L. tj <br /> 17- S a 4 - 4-0 2-11118q Ptd t1 <br /> %t - 13 <br /> It -! S B 5 — 35 <br /> 117,1 %11181T12 ,113 <br /> 15 43 117-1 0 1-91 <br /> I <br /> ' d Q <br /> e inquis 8y: d d eceived ate Time <br /> e in uis ea y: eceive y: Uate lime <br /> Relinquished y: <br /> ReceiyR 377 Date Time <br /> MAN OFFICE-- 853 COKPORAMN$TR££iF- P O BOX VZ BRANCH OMa- 2300 STACECOACH ROAD <br /> 6c LABORA M SANTA PAULA,CAL IFORNL4 ZOSO4= &LAWRATM SrOCX C N.CALIFORNIA 35245 <br /> (80)325.'1324-(806)6"-0450 CZM 942-M81 <br /> t►Y jq. % "a w P6"%wj,%n&w,% <br />