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• z • ��� <br /> CHAIN OF CUSTODY RECORD <br /> BOYAJIAN & ROSS, INC. (Page—of—) <br /> Environmental Scientists & Engineers PROJECT / TASK NO <br /> 132p EW Show /Avenue Suite 155 Fresno CA 93710 SAMPLER Printed � f � <br />' Tel (209) 225-1883 Fax (209) 225-528[1 <br /> Signature — <br /> Bdhng 42,6ANALYSIS REQUESTED TURNAROUND <br /> d ❑ RUSH ❑ _ HR <br /> w <br /> D Cp G ROUTINE <br /> Ann C IC� et!-� —Po 0 X " as <br /> rt NOTES <br /> Repo <br /> U <br /> a O <br /> .� <br /> o <br /> 1 Ate, � - LU Z <br /> REMARKS <br /> - TIME -SAfvfi LAB Preservation, Handling, <br /> r{V$- ID NO. 0 or Observations <br /> o p lz 3a 7 <br /> oy ,y rC <br /> o Z Z zo •� �Z4{Q <br /> S -o-i ; o r� X l }2A le[e <br /> _ X <br /> o <br /> 0c 5 tZ�i�f3 <br />' - <br /> zo <br /> +zq <br /> 11 117—CO-5 <br /> �.� <br /> -o •-r ti '�2�r�-(Q <br /> 9808000215 BOYAJiAN&ROS <br />' (Soil, Water, Vapor, Other) Total No of Containers 2� <br /> SPECIAL INSTRUCT ONS <br /> RELINOUIS TO 7 SAMPLE RECEIPT <br /> Pnnted Company <br /> r 1:1 Received in Good Condition <br /> Signature ate �F 7 Time �3� ❑ Samples Properly Cooled, Temp <br /> RECENED to r, '` �- ❑ Proper Containers <br /> Printed <br /> '4 <br /> Company _ Method of Shipment <br /> Si nature <br /> ate Time — <br /> ELINDUIS ED BY Comments <br /> r 1 - <br /> Panted L9 Company <br />' Sa nature ate Time <br /> RECEIVED 8 (LAS)Printed Compare4E , <br /> Time <br /> Si natu Date <br /> nicTRim rf oN wh+ta - Raturn to B wt Resorts Canary - Laboratory Pink - B&R Sampler <br />