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CD <br /> N <br /> 0) <br /> N <br /> Client Name/Address. Project f PO Number-LMal%*fe@%— { <br /> AnteaGrouplUFRR <br /> 1155 N.First Street,Suite 201 <br /> San.lase,CA 96112 <br /> W o <br /> U v <br /> Project ManageOPhone Number. Phone Slumber_800-477-7411 Ora <br /> Sara Sichlay1408406-4917 m d <br /> wni„gym„ v r � <br /> Sampler. Fax Number 408-31M200 7�z d <br /> Steve MordenlDavid Sisak u- a q <br /> U <br /> Sample Sample Container #of Sampling Special <br /> Description Ma$& Containers DatelTime Preservation InstruMms <br /> 4116114; <br /> 30,2432-B-1Td1_S-n4'tsla SO glass�ar 1 M33 None x x x <br /> 4116114' x x x <br /> SO-2432-B-17 dS_5-041614 SO ylzss jar 1 094U None <br /> 41'13114; <br /> SQ 24S2-B-18d1,5-041614 SO glass jar i 0955 None x z x <br /> 4115114; <br /> SO-2432-8-1846.5 041614 S0 glass jar 1 1034. None x x x <br /> 4116!14; x x x x <br /> S©-2432-SASdS_5-041614 So gt�jar 1 1104 None <br /> N <br /> 4116114: `-- <br /> So-2432-B-19d1.6-041614 So glassjar 11115 Nonee x x x O <br /> OD <br /> 4' CO <br /> SO.2432-B-1943.6-041614 So glass jar 1 1122 None x x x N <br /> 4116114; (1) <br /> SO 2432 -2041.5 041614 soxg€ass jar 1 1140 None x x M <br /> 4716114; <br /> 50-2432 B 2043.5 tt�l6ta SO glass jar 1 1143 None x x x <br /> Reliquished By: A ,y f I Received by: Tumaruund Time: (cheak) <br /> Date Tare: v��L j& /(, rvF itafwl-me_ <br /> UVJ f a t '4 Same-Day 721�ours <br /> f <br /> Relinquished ST. Received by: 24 Hours 5 days <br /> DatelTune: Daterrime; <br /> 48 hours normal <br /> Refsnquished By: Received"vt Sample Integrity. (Check) <br /> DatelTme_ Lab by-, <br /> oatemlrne; <br /> Intact On Ice: Custody Seal: <br /> Note.By relinquishing samples to Test America,dent agrees to pay forthe services requested an this chair of custody form and any addkional analyses performed on this project Payment for services is due within a0 days from <br /> the date of invoice.Sample(s)win be disposed of after 3o days. <br />