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— <br /> _ .. <br /> CHAIN-OF CUSTODY RECORD 1J BC Log Number <br /> r <br /> Client name Project or POI52 � Analyses required <br /> GG- ' Sucre v <br /> Address -2- <br /> 3 ,N l S Phone N _i ! Y o/z-/ <br /> City.State.ZIP �� ��l Report ahem on a <br /> J� �vLq S <br /> `o <br /> r a <br /> Sampled try <br /> Lab T �r. Q S L�r Number �. b <br /> mple d'�c <br /> SaDale Ta <br /> - te See key o1 <br /> number sampleample tlescrip ion <br /> d sampled bola. Containers zy� Remarks <br /> 50 W - q - 5,5-1 f <br /> 0920 <br /> U W- <br /> 1010 01 j — <br /> 1G w —q -- 3s <br /> .s <br /> Sglwum print Name Company Date Tome <br /> Relinquished <br /> rQ <br /> Received by <br /> r <br /> ReGnquashed by ` r C 1 f <br /> Received by <br /> by <br /> Reel by f.,ocre0a <br /> BRCMM AM CAL MLL L ABONA`IORIES Note: <br /> ©1256 Pome9 Strrab Ems+yviIe C/4 9iG08(41!5) Samples are discarded 30 days after results are reported unless other arrangamer4s are made <br /> Hazardous samples will be rolurned to client or disposed of at client expense <br /> ❑373:oulh Fo&Oaks Airenus,Psss WM.G 91105(818)795.7553 <br /> 12MPmtkolu wva AWOM.CA 92WS 'KEY-,AQ—Aqueous NA—Nonaqueous SL—Sludge GW—Groundwator SO—Sal OT—Other PE—Petroleum <br /> i <br />