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CHAIN-OF-CUSTODY REFORF <br /> Cv N <br /> Client � Date LAB Project# <br /> Analysis-Requested <br /> Pro ame Cli6nt Pr6jed# <br /> Page of .� <br /> Project Addreis Turn Around Requested: y gI� ,r Lab Use Only. <br /> x/11, �r' ✓l�'?e r LQ — `m Sample Condition <br /> ❑ 24-flour-Rush N m received: <br /> ��� /� ❑ <br /> 48-Hour-Rush x Cr <br /> (� ormal `< v Chilled Yes / No <br /> Sampler's Sig r ❑ Mobile Lab a 2 N ► o Sealed Yes 1 No <br /> a4 �. E <br /> TM: <br /> r <br /> A �l i I <br /> 0 <br /> :0 aeb Yxdv, <br /> q9VP <br /> -JLh4- y <br /> �- lC) 5 # <br /> - Q I Ished : Sig Lure) Date © Ri;CeivJig r Date Total Number of Containers <br /> C*Oarry: Time Com Time <br /> / r <br /> Reil <br /> Q nqulshed by: (Signature} Date eived by Laboratory: (Signature) Date ,IL <br /> ��� -ADV NCED ENVIRONMENTAL CONCEPTS INC+ <br /> Company: Time Time <br /> 'J 805 <br /> . ASHE ROAD 3206 <br /> FAX 805/831-1771 BAKERSFIELO,CA <br /> 93313 <br />