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,_..r L _.11J ___j _.__A __.._J <br /> Ibd environmenlnl leboralorlec <br /> 2261 f=ederal Ave.,Los AhgeleS, CA 94064 <br /> Phone: (213)478-4454 fax: (213) 478-8644 <br /> Laboratory Chain of Custody Record <br /> y Job No. '1105-231} <br /> Client: <br /> Contact: I Phone: -714 66�-I(oc q - <br /> Address: _ 119 7-c -14 r 0- L`"j 2f'` Fax: 5-5-7-0 3 7 <br /> ject: - - - - --- - ---- - - -- Analyses <br /> Remarks: <br /> Z� L <br /> Vn <br /> .r <br /> Lab 1,13 Field ID Datef ime Bottle No. Preserv. Matrix comments <br /> Type <br /> 2::151 L4 <br /> 2 <br /> 0 <br /> -31 10 <br /> 3 q 1 Q L <br /> -3 'x, <br /> - 3 <br /> 32F— J.-�- I <br /> Relinquished: Date/Time: received by: <br /> Relinquished: 61 Date/Time: Received by: <br /> Relinquished- Dato/Time: Received by: <br />