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��Cl4U <br /> r _. _ .: I,-_Z Z 1-1:r, <br /> _.. CHAIN OF CUSTODY RECORD BC Log Number "a" i <br /> CEeril nuns Project or PON Analyses requued <br /> Address <br /> CRy,Staes.Zipm- - - Report attention ' <br /> f lb <br /> Sampled by <br /> 0 C r <br /> Lab Number e <br /> Sample nate - Time <br /> number sampled Sampled bei Sample description conlainers d'y Remarks <br /> 3 <br /> Ca ct Li <br /> 3� <br /> Time <br /> - I r Print Name Company Dare <br /> 3'g"ei"a <br /> Recarved by V L G" Gdu L e <br /> by 1 <br /> Receivedby - <br /> Retinquist»d by <br /> IN <br /> _ ilscaivsd by Uftrai <br /> ® ANDa LL LA@ORA11pR1ES Note: <br /> PowM SUset, CA 9<60d(4151�� Samples are discarded 30 days atter results are reported unless other arrangements are made. <br /> _- Hazardous samplra will be returned to client or disposed d at client expanse. <br /> �Soup Fi<70 Avenue.P*sadana.CA 91105(e19)785.7553 <br /> ❑1200Pecith o&w...A,.h k.�CA 92805 `KEY:AO—Aqueous NA—NGnaquecus SL—Sludge GW—Groundwater SO—Sod OT—Other PE—Panoleum "h <br /> I e <br /> ek <br /> it <br />