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Calscience Environmental Laboratories, Inc. CHAIN OF CUSTODY RECORD <br /> Af F-1 ❑ <br /> SoCal Laboratory NorCal Service Center U <br /> 7440 Lincoln Way 5063 Commercial Circle,Suite H W081` Date Z S5/!Y <br /> Garden Grove,CA 92841-1427 Concord,CA 94520-8577 ` <br /> z <br /> (714)895-5494 (925)689-9022 El<,_�_. Page I of <br /> LABORATORY CLIENT: � CLIENT PROJECT NAME NUMBER: P.O.NO.: <br /> ADDRESS: �i OrA Gpoq PA •CI� <br /> zgR � <br /> 1-` k zk.4bD PROJECT CONTACT: SAMPLER(S):(PRINT) <br /> CRY STATEVIZIP <br /> CA <br /> TEL: 6f; EMAIL: s <br /> +o `l R18EQUESTED ANALYSES pj <br /> .SkGv $-IAS_Cb <br /> TURNAROUND TIME: <br /> ❑SAME DAY ❑24 HR ❑48 HR 072 HR "STANDARD ` <br /> ❑ COELT EDF GLOBAL ID LOG CODE U <br /> N p <br /> SPECIAL INSTRUCTIONS: <br /> 2 <br /> � m <br /> 1 O t <br /> `N W <br /> L 8 m N {p mO <br /> p O O <br /> Z a N O O ~ N m m <br /> NO'SAMPLING <br /> MATRIX y a x <br /> SAMPLE ID tJ > U O tm 4 Z2 <br /> DATETIME CONT. a > <br /> U <br /> 9 <br /> iulnk-IZ — iZh og�b w b fvgk <br /> 1-54 <br /> ANN <br /> n� <br /> o <br /> u � <br /> x <br /> Relinquished .(Sig tura) Received by:(Si nature/A 'liation) Date: Time: <br /> lz/4 1 o / S vim/ <br /> CD <br /> Rein ulshed/toSignal eceived by:(Signature/A tion) Dae: Time: <br /> tr" �/ TQCJJ �O C T Q� o <br /> l� <br /> Relinquished by:(Signature) Received by:(Signatu (filiation) Data: Time: <br /> rn <br /> DISTRIBUTION:White with final report,Green and Yellow to Client. 09/01/13 Revision <br /> Please note that pages 1 and 2 of 2 of our T/Cs are printed on the reverse side of the Green and Yellow copies respectively. <br /> Rewrn to Content <br />