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I <br /> AIR TOXICS LTD. 180 BLUE RAVINE ROAD, SUITE B <br /> FOLSOM, CA 95630-4719 <br /> AN EnrtRortuernAt_ nt_rncat.LABORATORY (916) 985-1000 FAX (916) 985-1020 <br /> CHAIN-OF-CUSTODY RECORD 1,! 1'0Page)� or — <br /> r <br /> Contact Person Wpi C.NK,11 Project info Turn Around Time <br /> Company PO # o`�C��5' <br /> AddressState <br /> _ D Normal <br /> #I% , StateC*Zip 9_:e�� Project # – r�— p <br /> Rush <br /> Phone -FAX r, Project Name C G 613y <br /> Specify <br /> Collected By signature <br /> Lab }$ Canister Pressure 1 Vacuum <br /> Q. Feld Sample I D Date Time Analyses Requested <br /> _ i, Initial Final Receipt <br /> NA _ IGlT _ <br /> t <br /> t< µ <br /> R qutshed 8 (sAA-il fmwj' Lr� Print blame Notes <br /> 2(0 <br /> Rat"uished B (Signature) Datel lme Received By,(Signature) Dati e <br /> r <br /> Belmquished By(Sgmture) Date/rkm <br /> i i o p 11 f r tire) 1160 <br /> HZIN; I I „f <br /> �;t A <br /> V ShImet Nttrne, O ed B . a -DatsMme Tem (°C) Condition Custody Seals Intact? Work OrderLAb <br /> # <br /> ' aB � r r <br /> No one NIA 2 Q_ <br /> ( ` Only. i1t <br /> t Foim 1293 iev 06 <br />