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f CHAIN O!:CUSTODY RECORD <br /> CUwa name ��/� <br /> BC Log Number —t4 z4— <br /> (t,�� <br /> . Arpi t m PDI `. <br /> . - Address + '� <br /> - t1 1� Zl Analysasrequiretl <br /> 9L V Kerte A <br /> Cay.Uwe, pip <br /> . - - �'rQ.ti"L ✓�,+�- I Repori atternion �~ � eb <br /> Lab - Sam by <br /> 00 Dale rime <br /> number See key 'S f't,°U� Number <br /> sampled sampled - below of <br /> - Sample tlescription contal,ers v� abm <br /> q �n y�c <br /> 4vLC a`' il,smarks " <br /> 0. — <br /> !�' V—q` 7- 1 <br /> 1):Z v_ 1,s <br /> V4- 57--51. <br /> Skvwure <br /> ' Print Name <br /> GOmpany Date Trme .„ <br /> ROCenred by ^L z -:3 <br /> Rsinqu-hWby I �� <br /> 146CM.dby j�tv - u z3 d <br /> nowvWOM by <br /> R.cskvd by Labor" YY tike t�l3fl O ri[,r ,� t , <br /> BROilM AND CA LL LABORATORIES <br /> Note:,&256 74s�W� •Eetwyy8le.G1 9e8Q8(415)428.2300 Samples are discarded 30 days atter results are r _ <br /> !�f��``F��b�u4�dwy CA 81105(818)795.7553 Hazardous samples will be returned to diem Or d�rgd unless other arrangements are made. <br /> 0 t2E10 Pad600&WKM M&NDIM,G 92905 wed o1 m cliem expanse. <br /> At] /W <br /> ' F ; <br /> usous NA.Nanaqueous SL—Sludge. .., ...... GW—GrounUwater SD— <br /> Soi —Otno <br /> IrNeum " • <br /> I <br /> SIMON III! 11:11I <br /> xhk <br />