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r� M r M w r M <br /> SuS borataries, Inc Chain of toMyeCOrl r M noM r <br /> 326 Encinitas Blvd, Ste 150 �v0 <br /> Q- Encinitas CA 92024 <br /> 1-800-900-9333 <br /> Client. fT�� fTS�SOC�J�T i _ Date �Q 3 Page �_of <br /> Address 7 LZAJC A&RAvi w f Project Name A R KA6 6427t- <br /> Phone Fax S7`'1- Z Collector C St-�� Client sect# <br /> Project Manager �Lw�V&4tA- c Batch # Proposal# <br /> w <br /> N y, <br /> W �p <br /> 00 � <br /> iV <br /> N <br /> U m <br /> w Ln it F C <br /> 07 It <br /> �p <br /> 8i 0 d G <br /> O O 5 � <br /> C) <br /> O <br /> r N O <br /> �O 1� W ( O <br /> m � ONO O d m 000 ((00 ((00 a Q N 44 <br /> Sample Container a a ¢ ¢ ¢ ¢ a a ¢ <br /> Sample ID Date Sampled Time Type Type w w w Lu w w w w f n Comments <br /> I -r -- 3 ZS Z V10 3 1Z VAGaoA«xs rc- z5� 1 <br /> o VLO I -- 5Z4Fr z ZT n z; 1 <br /> CU I/W Z r z6D <br /> sMMT -'32.5 <br /> �ru15� � 325 <br /> E- <br /> w <br /> n <br /> M <br /> W <br /> N <br /> T- <br /> J <br /> CL - <br /> x <br /> E <br /> a. <br /> Nil <br /> (+7 Pell fished by (sign re) Date I Time Received by (signature) Date ITime Total#of cuntamers Notes <br /> /,5-.'De) Chain of Custody seats YININA f!&}C2T'AATL3E -M <br /> Q Relinquish b (sig at ) ate 1 Time Received by (signature) Date I Time <br /> Seals intact?YIN/NA �1s55 L B T 'Tt°'1 <br /> CUMAL 1 <br /> Received good condition/cold <br /> r Relinquished by (signature) Date/Time Received by (signature) bate I Time lAk.l"l16?`�i j F 87ay -rae+ <br /> r' �-'6arDjAr-,Z74rr.�l T73�414z-wAJ <br /> Turn around time s7�'�� <br /> L Sample disposal Instructions Disposal®$2 00 each Return to client Pickup r <br /> i0 <br /> E <br />