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' I e CHA OF CUSTODY RECORD <br /> • B`OYAJTA Rr. R ncq TvIE" <br /> r� (Paga_ot <br /> PROJECT / TASK NO. 9 <br /> SAMPLER: Printed: ! U r�_ <br /> 9808000198 BOYAJI MPOS Signature: cul/Ltu <br /> B7Gng:_ ALYSIS REQUESTED TURNAROUND <br /> C m ❑ RUSH ❑ `HR <br /> tROUTINE <br /> r P.O. # , N S X. <br /> Report BOYJIAN&ROSS, INC. X v O <br /> Aj NOTES: <br /> 1320 EAST SHAW AVENUE SUITE 155- ¢ > . o <br /> FRESNO CA 93710CD <br /> q, m <br /> Atm E E <br /> w � <br /> GATE TIME SAMPLE REMARKS <br /> LABZ <br /> NO. I.D. NO. k w Preservation, dandling, <br /> or Obse-rvatlons <br /> .100 Vj <br /> C 1przc <br /> � t-cwiavt pr45�r.ative <br /> Zd w r W aG.d.T� �rx+N �a S <br /> (Soil, Water, Vapor, Other) Total No. of Containers <br /> SPECIAL INSTRUCTIONS: d �- � $�U <br /> rte- v�" Su nr a g <br /> RELINQUISHED TO: SAMPLE RECEIPT <br /> Printed: Company: ❑ Received in Good Condition <br /> s Signature: Date: Tune: <br /> ❑ Samples Properly Cooled, Temp. <br /> RECEIVED FROM: ❑ Proper Containers <br /> Printed:i Company: <br /> Method of Shipment:- <br /> Signature: Date: =Triune:_ <br /> RELINQUISH <br /> Comments: <br /> Printed: J n r Company: } <br /> Signature: �� Date: k 8 Time: <br /> RECEIVED ,Y: (LAB) <br /> Printe / Company:. <br /> Si nature: L{Ad ' r Date:E;~7—(96 rimejSa . <br /> DISTRIBUTION: White - Return to B&R w/ Reports Canary - Laboratory Pink - B&R Sampler <br />