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CD <br /> N <br /> N <br /> C&erd NamelAddress: Project/PO Numb <br /> Antea GrovplUPM L- <br /> 1155 K.First Street,SUM 201 �l��°��✓� <br /> San Jose,CA 45112 <br /> m o <br /> V G ✓ <br /> Q <br /> Project ManagerlPhone Number Phone Number 860477-741 i > 9 m <br /> Sara Sichleyl408-6064817 g <br /> c m <br /> Sampler: Fax Number.408-318-6204 a <br /> Steve MordettfDavid Sis2k a ¢ <br /> cs <br /> Sample Sample Container Sof Sampling Special <br /> Description Maft Type Containers Daterf-ime Preservation Instructions <br /> 471f4�14; <br /> SO-2432-B-21411.5-041614 soxglass jar 11205 None <br /> x x <br /> 4116M 4; <br /> 50.2432-B-2143 5041614 So glass jar 1 1208 None x x x <br /> 4115/14; <br /> SO 2432 B-2245,5 i54t614 3D g€ass jar 111320 None X x <br /> 411 6114, <br /> SO-2432-13-24d2-9-04-1614 SO glass jar 1 1335 None X x z <br /> All 6114; r <br /> SO-2332-B-23clSS-0416'14 SO glassiar 1135E None x x x � <br /> N <br /> 4116114; `-- <br /> SO-2432-B-25d1.S441514 SO glass jar1 1415 lyc0e X x x O <br /> 67 <br /> SO-2432 -Zsr15.5 041614 411,6114; x x z CO <br /> SO <br /> glassjar 1 1420 plane <br /> 411 16144: (1) <br /> SO-2432-3-26d3.5441614 SO glass jar 1 1444 None x x x <br /> tt d <br /> Relinquished BY { L t t DReceived by-ate/Time TurnaroundTime: (aheclQ <br /> la?e/Tune: <br /> s� <br /> Same Day 72 Hours <br /> Relinquished By: Received by: 24 Hours 5 days <br /> DateTrme DatefFvne: <br /> 48 hours ncrrnat <br /> Rermquished By: Received in Sample Integrity: (Cherdc) <br /> Dalemind Lan by_ <br /> Datefrime: <br /> Intact On soe: Custody Seal: <br /> Note:By relinquishing samples to Test Arnerica,client agrees to gay for the services requested on this chain of custody farm and any additional analyses performed on"this project.Payment for seraiees is due within 30 days ffom <br /> the date of invoice.Sample(s)sA l be disposed of after 30 days. <br />