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I <br /> t`L <br /> N <br /> i d a <br /> � as <br /> 777777 <br /> a <br /> CHAIN OF CUSTODY RECORD ( HC Log Number <br /> CMM name Project or POM� Analyses required <br /> V31 <br /> AQdress 72 , , Ph <br /> c 3 <br /> City,State. C 1 ` Report tlr=ion, C�5 `L S _ <br /> / � is � f � t'� <br /> T <br /> Sampledhy <br /> Lab 's, � Number <br /> Sample Date Time See key o1 <br /> number sampled sampled below Sample description containers d'ce'' RemarFs .e <br /> 7 f a!G '5{b <br /> y A% 'V2- l5 <br /> r-# 1 lb:Ya 5D Z--2_,)r t { <br /> 5JQRD 1� VZ-2-5' <br /> ` <br /> k l <br /> 131-15 a--yo' � ✓ �� <br /> 5v1 ✓ F <br /> M <br /> Signature Print Name Company Date Time <br /> Relinquish y G A67z <br /> 9� <br /> Received by <br /> •f `W�3 <br /> Relinquished by <br /> Received or 0�' <br /> Relinquished by. r' <br /> Received by <br /> �TS <br /> BR wN ANDA ELL LABORATORIES Note: <br /> Samples are discarded 30 days after results are reported unless other arrangements are made ;y"•; <br /> 1255 Powell Street.Emeryvil;a,CA 99608{415J 42B•2300 <br /> ❑3M South Fair Oaks Avenua�Pasadena.CA 97705 1618j 795.7553 <br /> Hazardous samples will be returned to client or disposed of al client expense. <br /> a, <br /> - 01'dWPacifico Avenue.Anaheim,CA 92805 - 'KEY:AO—Aqueous NA—Nonaqueous SL—Sludge GVJ—Grountl>`•ater 50—Sod OT—Other PE»W_trolcum � '� �•. <br /> _ M <br /> L <br /> lives <br /> t INNER <br /> 9 <br /> _i e. <br />