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CHA1 F CUSTODY RECORD . <br /> BOYAJN & ROSS, INC. (Page—of—) <br /> Environmental Scientists & Engineers 98 <br /> � PROJECT 1 TASK NO. <br /> 1320 East $haw Avenue, Sufta 15S. Fresno. CA.93710 SAMPLER: Printed• f cAfl <br /> TeL (209) 225-1883 Fax (20'9) 225-6260 - <br /> Signature: <br /> Billing:` a t5. .:EtJ S— ANALYSIS REQUESTED TURNAROUND <br /> Z,o d 60 C m ❑ RUSH C3HR_ <br /> cc 5 h C � RCkMNE <br /> amn `� C• G l�w►u V —P.O. VX v c <br /> Report BOYAJIAN&ROSS,INC. cc O U NOTES: - <br /> 1320 EAST SFIAW AVENUE SUITE 155 � � � o <br /> FRESNO CA.93710 <br /> At n: l E E <br /> . z REMARKS <br /> SAMPLE LAB w Preservation, Handling, <br /> DATE: TIME NO. I.D. NO. (O t1 or Observations <br /> Sw?8 ! :3d -a2.7 z �Z`�` z- <br /> 8 <br /> k 4 g V :3e, S-036 . q <br /> i <br /> 1 : C16 )2— <br /> (Soil.. <br /> L(Soil., Water, Vapor, Other) Total No. of Containers <br /> SPECIAL INSTRUCTIONS: Nv �- N Sv u <br /> nG • a r � z <br /> A <br /> `e �� `1G JCC <br /> RELINQUIS ED TO: <br /> Printed: Company: 7 <br /> u V� h <br /> 9808000215 BOYAJI AN&ROS <br /> _ '• <br /> Signature ate: 'rune: <br /> LL6rrr <br /> RECEIVED OM: 17 d + <br /> Printed: � Company: r _ <br /> I r r Method of Shipment: <br /> Signature: Date: � Tune: � _�:2 <br /> 4 RELINQUIS Comments: <br /> 8Y: <br /> Printed: 7- Compan —? <br /> Signature: 11 Dateek/ia Tama: 5 <br /> RECEIVED 6Y: (LAB) <br /> Printed:kl J y t5 Compan <br /> t <br /> i Si naturA Date: Tune: ` <br /> r DISTRIBUTION: White - Return to B&R w/ Reports Canary - Laboratory Pink - B&R Sampler <br />