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oor CHAIN-OF-CUSTODY *CORD" <br /> llllr� DATE 3 (p PAGE OF <br /> � "MP'01 ari <br /> KRAZAN & ASSOCIATES, INC Comments REQUE6TED ANALYSES PO Number, <br /> 123 COMMERCE CIRCLE <br /> SACRAMENTO, CA 95815 N s Ice chest No <br /> (916) 564-2200 VOICE <br /> o <br /> (916) 5642222 FAX Laboratory <br /> C 'T <br /> Q <br /> O � <br /> �, <br /> protect Td2u a : M U Lab Quote No <br /> Project No 34' f 11 7-5z (°ISI) a oLO <br /> ¢a <br /> Sampler Name _ t� Report 1 (j C9 o ' <br /> (Printed) Attention t)L Q f S L Atteon Z P ENZU.C[A— 2 ~ 1 y _6 2 of Ship rent/Dehery <br /> t � N CLLab SatnPte Krazan Date Time QE r Ac9 6 E <br /> Nab urIDA Sample No Sampled Sampled Sample Description 9��p � z ta U w <br /> � Remarks <br /> 5—W 34/10 <br /> b inn <br /> I <br /> I <br /> r#S lbJf Pnr No tt Q Witty* opMA Namo oab Number C rftners <br /> [ aPfi 5u6mted bo la <br /> Relinquished b k urn <br /> Around Time <br /> Recerved b1- 1 _ � , } a C a [? try (Circle Choice) <br /> Relin uished b am Pm <br /> 24 Hrs as Fits <br /> Recerved by am pm <br /> 5 Days 10 Days <br /> Relinquished by am Pm <br /> ROO&Od for Laborat b am pm As Coritracted <br /> White-tab Yellow-Protect File Pink-C 0 C &rider SD 5-13 97 <br />