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i <br /> as J <br /> CALSCIENCE ENVIRONMENTAL <br /> LABORATORIES, INC CHAIN OF CUSTODY RECORD <br /> 7440 LINCOLN WAY Date 0,52902- <br /> GARDEN GROVE, CA 92841-1432 <br /> TEL (714) 895-5494 - FAX (714) 894-7501 page Of / <br /> LABORATORY CLIENT Kiff Analytical,LLC !CLIENT PROJECT NAME l NUMBER PO NO "u <br /> C� rY� <br /> ADDRESS 721)Olive Drive Sidle 1) u t l< R 7 G 26-5 j <br /> PROJECT CONTACT LAB USE ONLY <br /> CITY Davis STATE CA ZIP 95616 J u C I IN© -El <br /> TEL {10-297SAMPLER(S) (SIGNATURE) COOLER RECEIPT530-297481110 FAX ';-10-297-4801 EMAIL <br /> TEMP. °C <br /> TURNAROUND TIME 0vj e j m),C G� 2v,, —1REQUESTEDANALYSES <br /> El SAME DAY ❑ 24 HR E] 48 HR ❑ 72 HR ❑ 5 DAYS ❑ 10 DAYS <br /> SPECIAL REQUIREMENTS(ADDITIONAL COSTS MAY APPLY) ca <br /> ❑RWQC8 REPORTING ❑ ARCHIVE SAMPLES UNTIL 1 !_ cr <br /> SPECIAL INSTRUCTIONS m m o o <br /> r�PC(1esP✓1� Cd�T �/�V h l��oxC�k.(YGH !l'C'C e ,..ti m_ o 8 F <br /> C14 C) <br /> 6lo�M 1 Ip -roJ 0 7-717M Z1N C3 <br /> m v] co N N v <br /> ~ d <br /> no co o in n `= N nv. M o CR UWj <br /> C5 0 V CO to H � m � � m � 12 � <br /> SAMPLING x o 0 an c3 <br /> S w -.1 C 3 C I O VS m m d U W <br /> fa oa c <br /> SAMPLE ID LOCATIOWDESCRIPTION rAnu: o_ a- - o � W U q z s x � <br /> Wy DATE TIME ew f- r- m � � } rn a Q- w c2 01- c-3 �. <br /> IV-A' ! Cr U 05)-SOL 030 SS-' 51- <br /> i <br /> i <br /> Re�rqu sti by i nature) /1 ('r/ Received by (Signature) Date Time <br /> 052 q 62 /320 <br /> Relinquished by (Signature) Received by (Signature) Date Time <br /> Relinquished by (Signature) Received far Laboralo by (Signat Date Time <br /> o2- <br /> DISTRIBUTION White with final report,Green to File Yellow and Pink to Client 10/01/00 Revision <br /> Please note that pages 1 and 2 of 2 of our T/Cs are panted on the reverse side of the Yellow and Pink copies respedwely <br />