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I <br /> L ENVIRONMENTAL <br /> ANALYTICAL CHEMISTS <br /> CHAIN OF CUSTODY <br /> DATE: l;XI12-IS2,. .,. <br /> CL 7 ENT. _ --P-A- t 'nd Ir q" f a e�• .__, <br /> ADDRESS 0- q 3,29 <br /> PHONE NUMBER <br /> PROJECT NAME: <br /> PROJECT MANAGER. <br /> SAMPLERS- <br /> Sample Location Date Time Number of Tests Date <br /> Number Description Sampled Sampled Containers Required Needed b <br /> 9SB 2 - 4L0 12-1G1g4 FM 1t r r�1�T4K x-3 - <br /> 10 S 6 3 - �o [Zll 8 f V\N\ L 1, 1. <br /> S B 4 -- 35 <br /> SB4 - 4o ,+ <br /> t� - t3 S es - 30 <br /> S B S - 35 <br /> e1nqu1ShecQy I Recelvedy ate Tibe <br /> Relinquished y Received By: Date Time <br /> Relinquished y Received By, Date Time <br /> MAuv oFF a- 853 coRYORAn0N sTR£ET- PO BOX 272 BFANai oma- 2500 STACECOACH ROAD <br /> &LABORAIM SANTA FAi1LA,eAUFOItNIA 43060-M72 At LABORATORY STOCXTON,CALIFORNIA 95205 <br /> (8051$253824-(OM)65",0 C20)942-MBI <br /> FAX (M)5254172 FAX (209)942-OM <br />