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' T American Environmental TestingLaboratoryInc. <br /> AE 1 L *** - - --- — - --- - AETL JOB# l �?f PAGE OF <br /> 2834 North Naomi Street,Burbank,California 91504 Phone(818)845-8200,Fax(818)845-8840 1 <br /> Certificate#1541 <br /> CHAIN OF CUSTODY RECORD ANALYSIS REQUESTED <br /> TELEPHONE: Z 1 3) eg 9- S 3Ur9 ' <br /> 11 <br /> CLIENT: e-".4 04 <br /> FAX: <br /> ADDRESS: Zo,G cf, rtu We f�prV E' Lor �N /� �/ 00 1/0 IX rr <br /> SITE: <br /> CONTACT Y- PROJECT PROJECT <br /> PERSON: e �bO'`' ' NAME: 6a A°/P"j NUMBER: Z7GT - YOS3$ <br /> CONTAINER SAMPLE TYPE REMARK`' <br /> SAMPLE ID LAB ID DATE TIME <br /> SIZE/TYPE soilSOLID PRES. <br /> ' WATER WASTE WASTE OTHER <br /> K,-:I (> ���/9y 3 �z <br /> 7<7 <br /> B-/ at ZG Y: Z6 Moo, <br /> ;a hyo/a! � <br /> a it <br /> Collected By: 4Nolt44.o// T, Date 8/,15'1 Time 73o Delivered Date g Time <br /> Relinquished By: Date Time For Laboratory �; "7 . Date �7 `/( Time <br /> Turn Around Time ❑ Normal Rush <br />