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11 <br /> } CHAIH OF CUSTODY RFCORID _ -t�,�•l C <br /> - Client Hams - RC Log Number <br /> - i <br /> Project or POO 9 <br /> Analyses requiredPh0qF4lE l] <br /> - ; <br /> City.Stats.Z' <br /> Reportan nlion <br /> LabS&Mpled by <br /> . - Date 'rima Sea key �" Numoe� �y 1 <br /> number sampled sampbd below of <br /> Sampiedescriplion containers <br /> �• Remarks t. `. <br /> b S17a 15:05. �iuJ <br /> y1 �t <br /> ; <br /> i SSS <br /> I E <br /> Ila`. <br /> Signature Print Name Company <br /> Relinquished Date T me <br /> Raeelvedby r5G7 /�• 74� F��.;j' <br /> Relinquished by <br /> Hit <br /> Received by 21 <br /> R "w4had by <br /> ROMWed by U ' <br /> BR44APdt AND CA LABORATORIES ;± <br /> . Note: - L <br /> ❑1i55 POwM .E 84808(415)426-23110 Samples are discarded 30 days attar VOWIS are re <br /> ❑373 Sot4ll Fair Oeka Awrtue,Peiedena.CA 81105 616 795.7553 Hazardous samples wdl be ratwnetl W diens a(Imposed taJass cher art 3i <br /> 1 mposed of at diem expense.mems are matlea, <br /> 12M P10111M <br /> Awrx+e AnelNeirn,GA 92805 'KEN AO--Aqueous NA—Nonaquews SL--Si <br /> udge GW—Groundwater SO—Sod OT—ether PE—Petrdeum �r <br /> I1k� <br /> lit <br /> . <br /> F lk <br /> I f S3 <br />