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IiL 'If <br /> MEN' <br /> CHAIN OF CUSTODY AND SAMPLE IDENTIFICATION RECORD <br /> Rancho Cordova, CA, 95742-6536, (916) 635-7766 <br /> ���,�-1�1ESt 287 SU�r�S@ B�V�., Suite 21�, — receiving laboratory: <br /> client: 7- ,o 7- ,o Page: / of: Anlab Analytical Lab <br /> tchison, Topeka and Date: L �a 1914 S Street <br /> anta Fe Railway Co. Weather: — e onl ): Sacramento, CA 95614 <br /> 5770 South Eastern Ave No. of containers (tsi Pa9 y <br /> os Angeles, CA 90040 Sampler(s): (916) 447-2946 <br /> ERM-West Job No.653 Signature((s): <br /> Analyses <br /> Containers Preservative ice sampling <br /> Sample The Sample type Y/Pl method <br /> !D (soiuwater) _ <br /> (grab/comp) l`(o. Volume �YPe <br /> so <br /> 3�',3�� y <br /> ---____------- <br /> Custody Retard <br /> Camments: ^—�� �— ----------_— Signa ure/Date/Time ,%r Ali <br /> ------__ .._.�__------..__...— .�--.___ _� Relinquished <br /> t�„�.��.z���-- <br /> --_---- ——---_— __ ,—_. _ --- Received <br /> ------------- <br /> -—————— <br /> __—_-----__--_—.—_..._— _----------- "—`_--- Relinquished �. --— <br /> �__ _—._.__ ——-----.—__.__.__....__._._._.._--- Received <br /> ��ly�� _/'��i <br />