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' Trace Arial is <br /> yei Laboratory, Inc. <br /> 3423 Investment Boulevard 48 + Hayward, California 94545 Telephone (590) 783-6960 <br /> Facsimile (590) 783-9592 <br /> _ CHAIN OF CUST0DY RECORD <br /> Proj.No. Project Name <br /> X02 � k�o`....� �5 c pt1o.� No. <br />' Analyses// / <br /> Company Name and Address: <br /> ��z,~ ���a•.�.c. �{.�S tc. Boz of <br /> Project Manager:— <br /> Sample Date Time Site Location Con- / CL/ <br />' ID tamers REMARKS <br /> Itivo V&1 <br /> I <br /> Sampled by• signature) Date/Time R 1 nqujsh d by• (signature} D to/Time <br />' :L •�' ��j0 �i }f:�r5 <br /> WV by: (s tore) Date Time eli fished by: (signature) at /Time <br /> 11 zV <br /> 11:;t5 ��._ /zgls. <br /> 0119 <br /> S_ <br /> Recei ed for Laboratory by: (signs ur a e/Time TURNAROUND TIME <br /> I � <br /> REMARKS SampTe t must be filled in-by lab <br /> Ice or <br />' Preservative: <br /> q Heads ace• <br /> Container Type: —7e k J74 <br /> Total Number of Containers- 2 <br /> Other: --' <br /> P/u� <br /> Founding Member of the Association of California Testing Laboratories <br /> I <br />