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Enseco Page_ar_ <br /> yy CHAIN-OF-CUSTODY RECORD <br /> SAMPLER:(V .Siina�ar�) _;j� -� � I � b 1 C•rrier�1 L'' •/ I'- �-J., —. <br /> ]- Date Shipped / <br /> Phone 11� -'•5 f �- / I Airbill No. Cooler No. 1 <br /> SHIP TO: SEND RESULTS O' <br /> Enseco-Cal Lab <br /> Client Name <br /> 2544 Industrial Blvd. Company • .c.n+ y' •- <br /> West Sacramento,CA 95691 Address)I -. nIF .4 VFF 4!•' <br /> (916) 372-1393 i�i< r-)I _ -,q ^ :a_ "i 11 y j — <br /> ATTENTION: Phone <br /> PROJECT NAME 7E2 c:.p.._jr_ ,i_: PROJECTNO. i.'Xk' I-; P.O.NO. <br /> Relinquished b •' Si 1 lure) , Received by: (Signature) Date Time <br /> Relinquislly(I by: (Signµ{t e) Received by: (Signature) Date Time <br /> Relinquished by: (Signature)ture) Received at lab by: (Signature) Date Time <br /> Relinquished from lab by: (Signature) Received by: (Signature) Date Time <br /> ANALYSIS REQUEST <br /> Sample ID Sample Date/Time Sample Condition <br /> Number Description Sampled Analysis Requested Upon Receipt _ <br /> lItL' C: _ / .. 7D1 ,? V (/ <br /> NIL, it -r ('N 1., .y 0V F c 1 — <br /> c C v <br /> 1 <br /> Special Instructions/Comments: <br /> OTE UNUSED PORTIONS OF NON AQUEOUS SAMPLES WILL BE RETURNED TO CLIENT <br /> Expected <br /> Analytical Immediate — <br /> T.A.F's: Attention (200% surcharge) _ RUSH (60-100% surcharge) Standard <br /> Cal Lab ID Number: (Jar lab use only) <br /> Client Retains White Copy Only (Revised 1/87) <br />