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_'.'. � '.,'� >3 fi y[ t 5 t �.l• sA _1- Y Wl Jf l Y�dS {4.tVI^# Ali `�Y � 5 �. �l �.; Y � 1 _ <br /> r <br /> CHAIN OF CUSTODY RECORD <br /> Cliontrtame 8C Log Number <br /> L1 Project or POM <br /> X21 Analyses required <br /> . Addross <br /> J <br /> ` Phv e?� 3�3 :� j&_q lq-0123 <br /> . _ CRy �. /n�tivn / Cr 0a ,. <br /> 4{(a .Y Ill <br /> `tea <br /> Lab Tom• Sampledny I <br /> 99 � <br /> Sample Data Time See key �- �] AZJ Number <br /> number PW Sampled below o! <br /> Sample description containers <br /> Remarks <br /> Z <br /> JU Z4, <br /> 9-gaio�yo �� 10-26 <br /> g l2:OD 61,C) tz� - <br /> 5 <br /> q a T 37 <br /> ✓ <br /> 5 In 40 ;L2 C�cc7 4V-12- , <br /> Print Name <br /> -. Company Date `T"a <br /> Relirlquisr" <br /> ALDWZ=1C C.o <br /> Received by I / <br /> Relinquished by <br /> I <br /> Receitied by I <br /> Reiinquishwd by <br /> Retailed by lsbomM <br /> Bll AND CALDWELL LABORATORIES Note: <br /> ErI250 PO.eY StrM.E 91696(415)428.2300 Samples are discarded 30 days after results are reported finless ocher arrangumants are made. <br /> M SoM Fair 661in AmPpsadene.CA 91105(818)70.7553 Hazardous samples will be returned to client or disposed of at client expense, s <br /> ❑1200 PEnik•O Avwpj4 Anaheim,CA 928M - <br /> *KEY. evus <br /> AO—Aqu a NA—Non que ous SL—£tudge GW—Groundwater SO—Sod OT—Olhe• PE—Potroieum <br /> N <br />