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I <br /> CHAIN OF CUSTODY RECORD (_ � � w <br /> - Glisnl name BC Log Number ' <br /> t.YJ�• ✓ <br /> r►/`f Analyses required <br /> —4d—19,—s y ., <br /> !!�3 1 <br /> f <br /> Phan s r, <br /> City.Stale,7 ��Z <br /> Report attention <br /> Lab TyW 5amr�fed <br /> sample <br /> o <br /> number led 1>14"nate Tuns Sae kav fNumbt, <br /> sampled sampled <br /> - Sample description containers a~�� <br /> Remarks <br /> r <br /> rte, rn�r�ld <br /> j A <br /> r _ <br /> I J <br /> L. <br /> SOW" I' Print Name Company <br /> Rah / Date Time k <br /> Racoived i f r" a - <br /> Relinquished by 1 <br /> \ r }} <br /> Raxivadby �a a �'• o � <br /> c <br /> R66K%fthed by <br /> a <br /> Realkwad by IAbormory <br /> BROWN AND CALDWELL LABORATORIES � <br /> Nota: _ <br /> ❑1255 Pow"Street.Cmwyvflla,.CA MM(415)428-23x0 Samples aro tlfsCarded 3n days after results aro reported un1m other arrangements ars made <br /> ❑313 Sdum Fak Olio Avenue.PasadeM.CA 91105(816)795.7553 Hazardous samples will be returned to client or disposed Of 81 CIiOn!expanse. <br /> ❑1200 PaOw AWK14.Anabs4n,Cal 92845 'KEY: AO— <br /> Aq'revus NA—Nbnaqueous SL—Sludge GW—Groundwater SO--Soil OT—Oilier PE—Petroleum <br /> rpt <br /> h <br /> 0 <br /> 1 <br />