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i CM. 'TECH Environmmta.[ Laboratories lahlabNo. 0 To _ 0 7 Page <br /> O6814 Aasesrrans Avenue. Paramount,CA 90723-3146 <br /> TctePhonc: (562)272-ZTOG Fax_ (562) 272-2789 s <br /> ° <br /> Chain of Custody Record <br /> - Client: yir[]rt�tf[n�r� �in!n!r ( ren Arec"L.,C_ done: �Y-667-a3oD TumAmun'�d��Tirzle -� a <br /> CS <br /> Contact: ILS( Fax: (26 7—;LVO Rushrk <br /> Address: -5157 AXi A6,11n k,,k yup «j LdaCTi� — a <br /> AnA SCS ed <br /> prajoct: S+�a�.�en — / <br /> Sampled 3y: -Dunt PA <br /> Names Stgnaturc <br /> Lab)D Number Flew ID OatefTime Sampled Hallie Type No. Preserv. N4attix Comments <br /> r <br /> wi <br /> SPI �(� l lr)k5b t S o 1 1 k Y_ > C_ <br /> SP5 + x x I a r s <br /> Cs - t3-i <br /> 0 <br /> G S - <br /> v <br /> Q <br /> v <br /> v <br /> D <br /> l <br /> 1 <br /> � � I <br /> u <br /> u c <br /> C <br /> r <br /> v n <br /> 7 <br /> o Rel;agaishe� _ .�► �j.�� Datc/Tituc: �` /4 e <br /> dz Received <br /> C <br /> o Disgatchad : Date!"Butz Carrier <br /> v - <br /> r- i hcnbv 901067e VIC pt;:o:mancc cf the ANIve sndca!ed tests <br /> v n <br /> n � Date/Titrt' `b - - Received by lair <br /> ° <br /> D <br /> C1 E CCR.WC Custody;CANS) in tact upon Ik:C6ftt by {ab? }FS ,IQ NOI <br />