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� � r r r � r r r i� � r■� �iiii� r r <br /> i <br /> TEG Nor# ern Caiifomla Inc, Chain of CuslWdy Record <br /> 11350 Monier Park Place Ph: 916.853.8010 Page: 4 of I <br /> Rancho Cordova,CA 95742 Fax: 916.853.8020 <br /> I! <br /> Client: a kc l n lr,�,a.�.w.e Zv.�a �� �. Project Manager: l vi cl lc,,k� <br /> Address: 41(a0S Arra Lo w+ Suk k I TEG Project L Client Project#: <br /> v.c1 7 Ck auto c` LA q !1 Location: , j,-v�c.lc.i,� U4 <br /> Collector: .,'� Date of Collection: Z a Z <br /> Phone: qD�-q Fax: � . .�ti L 81 � <br /> +1 <br /> o <br /> r� aye\�o�o` <br /> � W <br /> �� a`' • c <br /> ��y` oa` ca` oar c <br /> 0 0 N o o c� A�,F �o ��`� �o' o <br /> Sample Container oo`i �o`t' oo`� $o'` �ti`O +�o'�moo foo foo QQ <br /> Sample Designation Date Time Matrix Type AQP AQP AQP AQP AQP �,�� �p �Q �Q �Q ��. Field Notes <br /> 5 CSP 5fL,t �t3.s Sri Gess �r k <br /> SP ItZ-tQ k X <br /> X k k <br /> SP <br /> 1ttS X X <br /> sn k u <br /> sP <br /> .10 <br /> Reli 'shed b ate/Time Received by Date/Time Sample Receipt: Remarks: <br /> a �-i 3 db6= <br /> Re quished by: Date!T' a Received bf V Date 1 Time Good Condition? <br /> Cold? <br /> Relinquished by: i Date 1 Time Received by Date 1 Time Seals Intact? <br /> Total Number of Containers <br /> Distribution: White-Lab,Yellow-File,Pink{;Originator Sample disposal instructions: _TEG disposal @$4.00 ea. __•_Return to client _Pickup <br />