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q LD 912077 <br /> / <br /> Pirk <br /> 8084 OLD AUBURN O CtT'FiUS HEIC�-ITS. CAA95856 <br /> 10 JOB F <br /> (918) 723-r776 �� J <br /> C o r p o r a t i o n uc. #805360 'Q I <br /> CHAIN OF CUSTODY T� P.O.{ <br /> - mol LAB:7=ve�12-t�l <br /> JOB NAME: <br /> PROJECT MANAGER: �1�Q� ��K� - <br /> SAMPLES COLLECTED BY <br /> SAMPLE TYPE <br /> SAMPLE TYPE ANALYSIS <br /> ° SAMPLE LOCATION DATE TIME N0. CONTAINER(S) REQUIRED <br /> c a SOIL AIR WATER <br /> see u <br /> I -2 3 X crc� l0 l NIv i- 3x\JdI t`.l <br /> k <br /> - <br /> I52� <br /> 152-7 X <br /> IS2.1 x <br /> 153 b <br /> is-3 I X `s 1 <br /> IS32 K v *4 <br /> PRINT AME AFTER SIGNATURE w <br /> F3Y: RECEIVED BY: DATE/'I'!ME J <br /> A2f! r�P t5 <br /> REL1NQUlSH D BY: RECEIVED BY: DATE/'l'1ME <br /> RELINQUISHED BY: RECEIVED BY: DATE/TIME <br /> RECEIVED FOR LABORATORY BY: DATE/TIME <br /> zo <br /> METHOD 01' SHIPMENT: <br /> DISPOSITION: <br /> ❑ STORAGE ❑ REFRIGERATOR ❑ FREEZER ' <br /> TURN AROUND TIME SECURED <br /> ❑ 24 HOURS ❑ 3 DAYS ❑ 1 WEEK �3 WEEKS ❑ `� <br /> YES NO <br /> NO'T'E: PLEASE HAVE FACII DATA SHEET tiIC:NED BY CIIEMIST. <br />