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PLEASE RETURN ORIGINAL <br /> T <br /> LAWRENCE&ASSOCIATES <br /> 3590 Iron Ct. CHAIN-OF-CUSTODY FORM ANALYSIS REQUESTED <br /> Shasta Lake,CA 96019 <br /> (530)2754800 <br /> &A5Sac1-rcrPs fax:(530)275-7970 LABORATORY <br /> PROJECT <br /> JOB NUMBER <br /> CONTACT <br /> MATRIX w METHOD PRESERVED SAMPLE NUMBER SAMPLING DATE LABORATORY <br /> Lu <br /> F <br /> 01 ul z <br /> CO Lu <br /> 0 a . p 701-- <br /> TIOWI-01 YEAR MO. DAY TIME <br /> COMMENTS AND NOTES CHAIN OF CUSTODY RECORD <br /> L&A GLOBAL ID# SAMPLED BY:(Signature)Date/Hour <br /> SITE ID# <br /> RELINQUISHED BY:(Signature)Date/Hour RECEIVED BY:(Signature)Date/Hour <br /> RELINQUISHED BY:(Signature)Date/Hour RECEIVED BY:(Signature) <br /> RELINQUISHED BY:(Signature)Date/Hour RECEIVED BY:(Signature) <br /> DISPATCHED BY:(Signature)Date/Hour RECEIVED BY:(Signature) <br /> PAGE—OF BILL TO: L&A 0 CLIENT❑ <br />