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Z <br /> yt , R <br /> [`.. CHAIN OF CUSTODY RECORD BO Log Number <br /> Client name Project or P - Analyses requuedAddress <br /> T� <br /> -7 _�`..] 6 Phone <br /> C ty,gate Zip 09- Fiaporl all noon MILL <br /> i e <br /> �f \ <br /> ca�A <br /> moo' <br /> Sampled by e <br /> - - Lab� - - Type• f/71 Number ad�� <br /> Stmple - Dale Time See key w G of <br /> number, sampled sampled below containers m d" <br /> . Sampledascriptron `Z'�i Remarks <br /> W21gAwjidw& <br /> W-2- 1 '05 �u1 -2- <br /> j So-ute Print Name Company Date Time t <br /> Relinquished by m s 30 <br /> RsceiYed by - <br /> P.ntingwshWl by i <br /> Raceiwd by - <br /> RWqhd WRom,Md bv <br /> j <br /> .1 <br /> 0./$ 1i AND Cl LL LABORATORIES NOW <br /> 1!J 125 FQwil SampW&are discarded 30 days atter results are teponad unless other arrangements We made <br /> Hazardu.is samples will be returned to rtieni or disposed of at client expense. <br /> StrssC.£nwyriEK GA 946DB(415)226.23U0 <br /> _ ❑M3 South For 001 Awnue.Pasadwta.CA 91105=8161775-7553 <br /> []12gpp <br /> M. Maheim,CA 92WS 'KEY: AD—Aqueous NA—Nonaqueous SL—Sludge GW—Groundwalor SO—Sod OT—Other PE—Petroleum <br /> is. <br /> l� <br /> i <br /> i <br />