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M— IN AIM <br /> CHAIN OF CUSTODY RECORD HC Log Numbe1 <br /> Chenl name - pI Pro,ect or PON J3�U AnefysAS required <br /> Address 7,Z 3 <br /> Phonu <br /> _5 S�. <br /> City.Sta lip Report attention o <br /> o <br /> SamplE,d by `� a 5 acQ <br /> Lab yp° S1'FV >•1¢^ Number e � <br /> Sample flats Time Sze key 'Z of <br /> numbor samp!etl sa mplod bvlow Sample enscrPphor, containers �l] / T y7 nemarRs <br /> Vj <br /> yr0 w Z <br /> r�lylY q s w ic <br /> w /1 <br /> 1610 w' S <br /> tr jyso w7 3 <br /> Print Name <br /> Company Dais Time <br /> Rwr:^quished by IoPO <br /> /✓q 77, / /f <br /> Paceive,l by ., s <br /> Relingi.is!Pod by <br /> Received by <br /> Relinqu+Shed by <br /> Receival by Laboratory <br /> BROWN AND CALDWELL LABORATORIES Nolo' <br /> Samples am dsca,dnd 30 days atter results are reported unless emar arrangemen•s are made <br /> El 1255 Powell Sb-^' t=meryvdl9.CA 94608 (415)428.2300 <br /> tfadatdous sampies will he,etained to client or d!sposed of at(-.Iran[Expense <br /> ❑373 South Pact .,Avenud.PeSaden3.CA 9110$(H18)795.7553 _ <br /> ❑1200?aeificoA orue.Anaheim,CA 92805 'KEY AO—Aqueous NA.-Nonanunous SL—Sludge OW—Groundwaler SO—Sod 0:-vlhor PE--Petroteum <br /> 14, 1111 <br /> fS�6�il®4t1E�l!EtiY9�1�l��.. <br />