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Pap—of <br /> r,w Chain of Custody Record n-mt� 7i3nt: d� TcmP: � <br /> bp Projcr# Name Sts#ion tela.348 ff sits Tune: 3d Tcm <br /> l3P Bulemm CO Portfolio: 5 •Conditions. <br /> BP Laboratory Contract Number: isteoroi kal Events- <br /> Date. ^r C Requested Due Date 10 days from date received Yaaad S - Dimcliou: <br /> Ile <br /> Send TO: BFJLiW P ilia No.: 548 oruttltantlContractar: IM Co . <br /> Lob Name: ata KPIGHI�i Ferilit Address: 1612 W.Hmamer lana.Slnrkton Address: 2874 Gatcwa Oaks Dr.,SU 300 <br /> L6b Addtas8: 4itelD ilio_ ARCO 348 Sa re�nente CA 95E33 <br /> 819 Striker Avc..Stab Syte LatfLo . meil PDD: dense ae UrScOf .cam <br /> Sacramento,CA 95834 C4difDFF171&C1n681 1D f: 70607700134 nsuilanl Pto'aci No.: 38465179,04327 <br /> [At►fiM: Ran Babe! IBPIGFNS PM Conlecl. Paul SU le multarrM.le,JFax:4t6-679-20D(k(67F-2404 <br /> TdeJFat: 9t6.921-9M921-0100 Addfaw F.O.Bux 6544 lConsultard PM: Vernon Elacth•916,717."41 <br /> Report MEpe&QC Level: Level]It Mora a.CA 94574JIM-oic¢to: Comullom <br /> KPfGEM Aomual No.: elcTae: 92.9.294.x3$?l 1925,2991972 JUPIGAI Work Relcasa No: <br /> Lab Iio111cOrxierNo: Requested Ar IyAs <br /> c <br /> to i~ <br /> limn � � P- � `x Sample faint Lat/Lung and <br /> Sronpte Mscripilun nme s IAborWXY\p, <br /> NO. `r o is {+- u Connuenls <br /> C u <br /> 4 <br /> x r3 <br /> 1 ENYTotal Air X, 1 X I Ix <br /> 2 NP Cal Air -F K "(7 1 X x <br /> .4 RFF Air X ^D i K X <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> S <br /> 9 <br /> l I! <br /> Seam '.cr's Name: Gaurgc-1lla&1vL%%P Ftelin Qs Y maid ata ime « wl AY I Arn11 1INI Dole tame <br /> Snm leTIt Com tan :U14S Corporation 3S <br /> ShI mentDato: # <br /> Shi ncni Mdbod: LZ <br /> Shipmom TrAelcins Lao: <br /> SPMW Lst;rucllanl: <br /> Glrstody 3"15 In Place Yes No Temperahhero B1enk 'Yea No Caoicc Tcmpctatura on RcceiyA °lelC TTip Blank Yes No <br /> Disttiution: White Copy-Labomlory/Yollow Coixy713111UHM f Phik Clop sul lanVCuntractcr BP COC Rey.1 215161 <br />