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CAL TECH Environmental Laboratories Lab lob No. <br /> S) l� �7 Page 1 of--/ <br /> O 6814 Rosecrans Avenue, Paramount,CA 90723-3146 <br /> Telephone: (562)272-2700 Fax: (362)272-2789 <br /> n <br /> Chain of Custody Record <br /> T Client: EEC Phone �7 p4�C 67-z 3 az, Turn Around Ti <br /> Contact: M 4'k 2 c L-o Fax: 71!)c c 7—21 t o Rush <br /> Address: S/.S- Al, Cc lx l 10 �� l�r. $ / 2-,0 Normal _ <br /> Sarl4 A,- , GA X 019 / <br /> Affil ses ucsted <br /> Protect- 5,411`1S�� �f��. L),, Anal <br /> Sampled By: <br /> 'Y Name! nalute <br /> a <br /> Lab 1D Number Field ID DateMime S �/ <br /> La lime am ed Battle T No. se X. <br /> pl Type pre tv. Matnx /gyp/����/['�/ / Comments <br /> T <br /> v <br /> v <br /> l <br /> lU <br /> N <br /> W <br /> T <br /> U <br /> W <br /> W <br /> Relinquished: Date/Time. <br /> �1 _`/OZ �y,� 0 C3 Received: <br /> m <br /> Dispatched : Bate/Time: Carrier <br /> CS] hereby authorize the performah.ce of the abort indicated testy. <br /> Q <br /> NDalt/Tuue: ' ;'�J� Received by lab: <br /> m CTELCCR.DOC: Custldv sral(s)in tact upon receipt by lab) YES NO NONE <br />