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-" CHAIN OF CUSTODY RECORD <br /> C wl name ec Lor Number <br /> Prgecl or POM 3 <br /> /GLI✓ fir/ Ana'yses req-iiretl r , <br /> Address 723 'S' 4-- G I <br /> Phano <br /> �.S e.Zip O <br /> ^ n �/G <br /> l Repori all tion vQN <br /> - Laub Type, Sampled by <br /> S-"^ple Date TimeSee key <br /> - Number ,�fiyr y r V <br /> number sampl*d sampled botow of IAC' <br /> - Sample description containers <br /> q0 Remarks <br /> iq JOQQS LS1 rd 2.(.�7d WQ j Z ✓ �-n u r <br /> 13'20 r4 VJ tr re I1 2 ✓ <br /> l� 1Jr=3sjl►V � Y[fUk2U IIr f � 24- <br /> //�=2a r� <br /> uY o� r'oG <br /> it <br /> 44� <br /> �k <br /> —Signature Print Name i7 <br /> Retirmu4hod Com by A pany Date Time <br /> Received 1:1 - — <br /> ReRrrquisNa by t(Pcr i. CJ <br /> ReCetred by <br /> Ralinquis by <br /> ¢ 1, <br /> Received by Labarrddry <br /> BROWN AND CALDWELL LABORATORIES <br /> Nola: 'Iy <br /> . 1255 Fakrraa —•Emaryvelte.G!1$4609(115)429-2300 <br /> Samples are diseardad 30 da aper results are reported unless other arran ` <br /> P Ys gomems are made •$. <br /> 373 South FairOala Avenue,Pasidena,CA 87105 113 18)795-7553 +terardous samples will be returned to client or disposes d a1 tiiont expense <br /> ©1200 Purarica Avemra,Anaheim,G 92P05 <br /> 'KEY: AO—Aqueous NA—Nonaqueous SL—Stud ! <br /> go GW—Grsuntlwater SD—$pl Of—rather PE—Perrdeum w <br /> f <br /> r <br />