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CHAIN OF CUSTODY No-072054 Page—J-01' <br /> CONSUL7 T'S NA EADDRESS ]� . CITY TE ZIP CODE <br /> tib¢J �� S <br /> BP SITE UMBER 11 BP CORNER DRESS/CITY CONSULTANT R CT NUM(A, <br /> ll <br /> CONSULT T PROJE T MANAG QPHONE UMBER FAX NUMBER CO SULTANT CONTRACT NUMBE <br /> Eco �f <br /> BP CONTACT BP ADDRESS PHONE NUMBER FAX NO. <br /> C-n-�v \)In c hAI�6 I k'A <br /> LAB CONTACT LABORATORY ADDRESS PHONE NUMBER FAX NO. �^ <br /> SA PLED BY( e-ase Print e} SAMPLED BY( ignalure SHIPMENT TE SHIPME T METHOD <br /> AIREIILL NUMBER <br /> TAT: F 4 Hours 48 Hours 1 Wee Standard 2 Weeks ANALYSIS RED IRE `�c� '7 <br /> COLLECTION CO TAINERS PRESERVATIVE r 1 <br /> SAMPLE DESCRIPTION DATE MATRIX <br /> SOILIWATERTYPE LAB COMMENTS <br /> COLLECTION NO. VOL.) SAMPLE# <br /> TIME { <br /> 37 <br /> 7 <br /> ADDITIONAL COMMENTS <br /> RELINQUISHED BY I AFFILIATION DATE TIME ACCEPTED BY/AFFILIATION DATE TIME416, <br /> j�7 <br /> v <br /> L4ZOO,11— �� too <br /> C <br /> CLY 16722 Distribution: White-Original (with Data) Pink• Lab <br /> PKcuso Yellow• BP Blue• Consultant Field Stall <br />