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r I r t c r r c r c r c r rPASCLIPJ6 r r r <br /> )Z3 r , CHAIN—OF—CUSTODY RECORD <br /> Ient /j Vate.�/.' (/ Analysis Requested �B Project# I Z� <br /> e oject# <br /> Page of <br /> f <br /> Project Add ss Turn Around Requested: Q U) Lab Use Only. <br /> d Sample Condition <br /> ❑ 24-Hour-Rush rn a as received: <br /> � � ❑ <br /> 413-Hour-Rush K Q c <br /> al U Chilled Yes ! No <br /> Sa ler's Si ❑ Mobile Labo N o Sealed Yes / No <br /> m � <br /> coq� a n av E <br /> Sample • • • J N NfA Z • s - <br /> .--5y r <br /> f_ <br /> Relin uish : (Signet �) lit/Q /,� Q Received by: (Si n tureJet� i Total Number of Containers <br /> C ny: �� Time Com ny: Time i D <br /> Q inquished by: (Signature) Date O Received by Laboratory: (Signature) Date <br /> -ADVANCED ENVIRONMENTAL CONCEPTS INC- <br /> Ir <br /> Company; Time Company: Time 805/831-1646 4400ASHEROAD mos <br /> FAX 8051631-1771 BAKERSFIELD,CA 933113 <br />