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r r r r r r r r [ r r r r r r r r r If <br /> LAASSOCIATED LABORATORIES <br /> 806 N. Batavia • Orange, CA 92868 CWHN F CUSTODY RECORD <br /> (714) 771-6900 • FAX: (714) 538-1209 S5� Date Page Of <br /> CLIENT <br /> ADDRESS PROJECTMAN� ER <br /> f / Samples Intact Yes No <br /> " - ` 7 3 1 County Seals Intact Yes No <br /> — <br /> Sample Y <br /> (��� - Sample Ambient— Cooled eK Frozen <br /> PROJECT_ AME SAMPLERS:( n re) Same Day 24 Hr. <br /> 0 <br /> Regular 48 Hr. <br /> SAMPLE SAMPLE TYPE NO OF SUSP. <br /> LOCATION DATE TIME TESTS <br /> NUMBER DESCRIPTION WATER AIR SOLID CNTNRS CONTAM REQUIRED <br /> U �sL- w- ri G �p . � �- <br /> HCl / <br /> IeWW / f <br /> C Relinquished by: i to Received by:(Si nat re) Date/Time I ereby authoriz�,rmnc <br /> bove <br /> indicated work <br /> Reli uished by:(Signature) Received La t ry r analysis: Date/Time <br /> (Signatu <br /> Special Instructions: <br /> DISTRIBUTION:White with report.Yellow to AL, <br /> Pink to Courier <br />