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S) CAL ECH Environmental Laboratories Lab lob No. 0 . � �j7 Page ) of <br /> O 6814 Rosecrans Avenue, Parattmunt CA 90723-3146 <br /> Telephone: (562)272-2700 Far: (562)272-2789 <br /> Chain of Custody Record <br /> T Client: 'EE C Phone: �7f�q�C 67-Z3 Turn Aron Ti <br /> contact: Malk 2 c rti o Fax• Rus h <br /> (7 i'iJ c t 7-2 3 t o <br /> Address: S/5 N. q/ Zo Normal <br /> Sa n�cL al '�019 <br /> Project- 54//- Vn �� s�- Anal ses usi <br /> eed <br /> / s � �f�., . �� � <br /> sampled By: / <br /> NamelSS�naluce V <br /> Lab ID dumber Field ID DatelTme Sampled Bottle Type No. Presew. MaUix 6Y � X° � � <br /> �� / I � / Comments <br /> M/A <br /> T <br /> Il <br /> 'V <br /> ti <br /> t <br /> iv <br /> lv <br /> :D <br /> In <br /> T <br /> U <br /> W <br /> W <br /> iD <br /> Relinquished: Rate/Time: g ot- /c� ' O Rec6ved: <br /> m <br /> Dispatched Date/Time: <br /> Carrier <br /> m hereby authorise the perfarmanze of the above indicated test. <br /> m > / <br /> m Batt/Time: Received by lab: <br /> m CCELCCR.DOC Custndv seals)in tart upas receipt t3y lab? YES KQ <br /> 1V0NIE <br />