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4GLENVIRONMENTAL <br /> ANALYTICAL CHEMISTS <br /> CHAIN OF CUSTODY <br /> DATE: 1a.11;_184 _ <br /> CLI ENT• L&I4Ai4a, <br /> ADDRESS. <br /> u <br /> PHONE NUMBER: <br /> PROJECT NAME: 'L'"^'a'�� C� <br /> PROJECT MANAGER: <br /> u <br /> SAMPLERS <br /> Sample Location Date Time Number of Tests Date <br /> Number Descriotzoa Samoled Samoled Containers Reouired Needed b <br /> �ro�c-r 1 Sal - 15 /ZIS161 Pt M I L oIP <br /> � �.-3,ut•�s, <br /> * A 563. - a.5 12-182891 PtM k J_ u <br /> f S a 1 '- 3 5 1zl S/84t A M I 1 <br /> S51 -� 40 �rzj8�8s A, <br /> _ 5 SBZ - !O ►zj$�Sg p 1 k '' <br /> - 5 Q Z - 2-5 +z4S lei 4 P L <br /> � —� S � �R 2 -� 35 EZ�8��q � P N1 1 � '► <br /> 2h3 10 a sa, <br /> e inqu1S11 y. <br /> Receivedy: ate me <br /> Relinquished y' <br /> ece ved y: ate Time <br /> e ingats P BY: <br /> Received y. Date Time <br /> MAJN OF — aS3 CORPORATION ST?XU— PO.B0X 212 SRANCR OMC E— 2MO StACECOAC H ROAD <br /> &LABOR+,TORY SANTA PAULA,CALILF�ORNIA 93060-= fe LABORATORY STO07M,CAU ORNIA 9SM <br /> (WM 32S,V 24—fes)63'3LM0 CM 942-ml <br /> FAX !Ang%riVtT CAV mrm aII-tw" <br />