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EN <br /> M op <br /> AL H Environmental Laboratories Lab Job No �,�,�ri�l.t �'i �_ PdOr <br /> O6814 Rosecrans Avenue, Paramount, CA 9072 3-3 146 <br /> Telephone (562) 272-2700 Fax (562) 272-2789 <br /> Chain of Custody Record <br /> Client �I/rro/1,d� � //7taJ irL• Ga c Phone YN "1212�bd Turn Around Time <br /> Contact (p Fax / "Z310 Rush <br /> Address �� �CA/1 �- r/vim_ Normal <br /> Analyses Requested <br /> Project fa C t' <br /> Sampled By er ti�6 <br /> Name/Signature J� \'U _ <br /> Lab ID Number Field ID Datef ime Sampled Bottle Type No Presery Matrix ���,�� Comments <br /> SP u <br /> �Z s- <br /> I i L10 vQ� <br /> iZ � <br /> � <br /> Relinquished• Date 1 Time � �` Recery <br /> Dispatche �- !s � Date 1 Time �� / Carrier <br /> I hereby authorize the performance of the above indicated tests <br /> Date/Time <br /> Nod 2) W11") _ . Received by 1 % 1 <br /> C I ELCCR DOC Custody seal(s) in tact upon receipt by lab? YES NO � NONE <br />