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1 i Chaiti of Custody Form MI +13 ANALYTICAL LABORATORY, INC. <br /> 1 1046 5900'Hollis Street, Suite hl, Emeryville, C21ifornld--94608 SZZZX <br /> Name / Client / Address: (510) 653-0824 - (510) 653-1361 - FAX <br /> Pen cLeong Proj ect f <br /> try 7 0{� / � �� I <br /> �n nares rivo&Creative __ 1 Cesy Q ( Asbestos + <br /> TEM PLM PCM <br /> Environmental SolutiLead Only <br /> P O.Box 99288 _ TTLC(Total STLC TCLP <br /> Metals <br /> e vie 94662 (Specify) TTLC(Total) STLC TCLP <br /> Tel. Other <br /> {„510)652-3222 _ P.O. No. <br /> Fax (510)652-3555 <br /> Number of Samples <br /> \ i <br /> - - <br /> Turn Around Time �oYWI Di .S) <br /> 5- <br /> Matrix Type Bulk Dust Paint QV Wipe . Air Water Other <br /> Time Sampled <br /> Date Start/Stop/ Average Total Filter <br /> Micro 1D 9 Client IDI! Location ! Description Sampled Total Minutes LPM Liters Pore Size <br /> r <br /> P I � <br /> Instructionls- i CDwI OS tlM T n � S4 AVw <br /> op 1111H1 "r1Cg+ ' Y1=sY1itS W/ GLA IL CJ 4D ?AIC- tat 'c1 ( P• int tYt <br /> SANJoaltwIn Gvt�Nf� <br /> f Sam er's SiI�Ag ture / Name EF Inv <br /> d Sot} F, Wer(�ry AV- <br /> 17'-1 (G — -1 � Drop Box ! Co <br /> Relinquished By Date Time Receiv By Date Time <br /> Relinquished By Date ITima Received By Date/Timc <br /> 7 <br />