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HA$RDOUS MATERIALS LABORATOR>ie C/ <br /> _17'B <br /> LABORATORY REPORT <br /> To: ��c ��` h 'lyea HML # • g 5 — <br /> COPY TO name of Orson requesting ana ysil �j� 7 <br /> COLLECTOR'S SAMPLE # J 133 DATE OF REPORT S 0 o2 o�C <br /> LOCATION OF SAMPLE COLLECTION:. DATE COLLECTED E p <br /> NAME f X11,✓moi �" mo day yr <br /> n � s <br /> ADDRESS �/6-7 ��/!,/ <br /> � <br /> number street city state zip <br /> ANALYTICAL PROCEDURES USED: - S <br /> yes <br /> REFERENCE: <br /> ANALYSIS RESULTS: <br /> • Yfii� C�LCtZTC c/� '1 PQvn- c�0 - S 1'xeno .S <br /> S6SS E4vvr/ 7 3.� f f — — <br /> s682 00/03 57, 11 ¢- — — <br /> f&LL� = 200/�a o SCP <br /> a <br /> (�•��-Cca� e el C(6 <br /> ANALYST IGNATURES: SIGNATURE OF SUPERVISING CHEMIST <br /> date date <br /> 2. <br /> date <br /> California Department of Health Services - Hazardous Material =_ Laboratory <br />