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Aft <br /> I_ ' CHAIN O USTODY RECORD ' <br /> BO�AJ A-N & R OS INC. <br /> Environmental Scientists & Engineers PROJECT 1 TASK NO <br /> 1320 East Straw Avenue, suite 155 Fresno CA 93710 SAMPLE Prlrrte 1. v! r G <br /> Tel. (209) 225-1883 Fax (209) 225-6280 <br /> Signature <br /> Wringo Z ANALYSIS REQUESTED TURNAROUND , <br /> Z 00 J m C1 RUSH ❑ , HR <br /> fZ' 0 l ROUTINE ' <br /> qty _ _ _ P O # X _ _ <br /> Report BOYA L4N&ROSS, INC O tj NOTES <br /> 7 _ <br /> 1320 EAST SHAW AVENUE SUITE 155 ¢ O ' <br /> FRESNO C 93710 °r <br /> —� 1E EAM J3 MCA ri D <br /> z <br /> j z REMARKS ' <br /> DATE TIME SAMPLE LAB L�' a w Preservation, Handling <br /> NO I0. NO ` or Obsefvatlons <br /> '8 9 . o az 5 p <br /> r � � 9k g :z-� S-oz K S <br /> g �d:lj ' S -azo U S 7 l <br /> 1 <br /> ' (Soil, Water, Vapor, Other) Tota! No. of Containers <br /> SPECIAL INSTRUCTIONS = s e�cG d C r � <br /> Oha� 71Q– C ftC4 �[S SL LAQ d <br /> RELINQUISHED TO SAMPLE RECEIPT <br /> Printed Company- ❑ Received in Good Condition <br /> Signature Date Time ❑ Samples Properly Cooled, Temp <br /> RECEIVED FROM ❑ Proper Containers <br /> Printed Company - Method of Shipment <br /> Signature Date Tuna <br /> RELINQUISH&D BY Comments <br /> Printed Af Company <br /> Signature Time --=— <br /> RECEIVED BY (LAS) <br /> Printed �t�u OL— company <br /> Signature �� 66(-Con Date 81-714e Time �s — <br /> DISTRIBUTION White - Return to B8R wl Reports Canary - Laboratory Pink - B&R Sampler <br />