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• <br /> Compliance <br /> & CHAIN OF CU OY OR(3ND S QUEST <br /> Closure, Inc. <br /> PROJECT NO PROJECT NAME/SITE NAL SI TED P 0 # <br /> W,k <br /> Ao^,At,;q-� c,a <br /> SAMPLE 5q <br /> n <br /> K (PRINT) K RULCb <br /> [L J �q ^O Pq ^q <br /> SAMPLE IDENTIFICATION DATE TIME Oii < PRES a k QZ�'' <br /> U USED 2 �. tiQ �Q coq c`oL wry REMARKS <br /> I <br /> owv <br /> ijfqkj zo./ 44L <br /> ±:H <br /> REllN DISHED BY DATE 71ME RECEIVED BY PLABORATORY PLEASE SEND RESULTS TO - - <br /> I- ICA,-0644 <br /> p1r-A-! 4+�� C14 Compliance 6 Closure, Inc <br /> RELfNQUf HED BY DATE TIME RECEIVED BY 7020 Koll Center pkwy <br /> Suite 134 <br /> Pleasanton, CA 94566-3107 <br /> RELINQUISHED BY DATE_ TIML RLCEIVED BY RFQUESTED TURNAROUND TIME (925) - 426-5395 <br /> RELINQUISHED BY D i! TIMI 11E C' ED BYL )IW01 fit CL IPT CONDITION PROJLCT MANAGER <br /> Attn Mr Gary lkey <br />