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I <br /> 95 o5 W <br /> 7 , <br /> AIR TOXICS LTD. 180 BLUE RAVINE ROAD, SUITE B <br /> FOLSOM, CA 95630 <br /> AN ENVIRONMENTAL ANALYTICAL LABORATORY (91 6) 985 1000 • FAX {916}985 1020 <br /> CHAIN OF CUSTODY RECORD Page�of_� <br /> 24 -+ 3' d r <br /> PROJECT# — -- 4 PO# COLLECTED BY (Signature) L L c <br /> REMARKS <br /> FIELD SAMPLE I D # SAMPLING MEDIA(Tenax,Canisteretc) DATE/TIME ANALYSIS VAC /PRESSURE LAB I D # <br /> b l� FL TEbc w� 8q ) a p � , --,!7-7) <br /> -------------- <br /> 1025,44 T-li I <br /> RELINQUISHED BY DATE/TIME ECEI ED BY DATE/TIME RELIN UISHED BY DATErnME RECEIVED B ATI= 1M�/1 <br /> �/j IL <br /> i <br /> AB �� <br /> ,SE ONLY <br /> F ' �t t <br /> SHIPPER NAME, A; I14# All 0 E ED PY. DATPTIME TEMP(°C) CONDITION <br /> MARS Ihww-wdt I <br /> }} <br /> ' t r 1' isl <br />