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Vironex In* Chain of Cul y Record 0 <br /> 3002 Dow Ave, Ste 406 <br /> Tustin, CA 92780 <br /> 1-800-847-6639 <br /> Client 140L 14-. -erj o 1 lrll_ 1-5 Date 5---27--00 <br /> Page Of <br /> Address R ou J Ga 7 yo o_yjsy- Project Name_5-)-oak ate- CG /rc9,�sr 54— <br /> Phone G3v Z - Fax(e<,O) gZ-y -a _ Collector Client Protect# <br /> ProjectManager � —r �` t�au�'k� Batch# T— -2Z R— Proposal <br /> ro N <br /> m � <br /> N <br /> � N <br /> �' t= <br /> rn a o o l� <br /> 0 0 ❑ O <br /> N (0 N Co �O O <br /> pO �'1 O� U <br /> �J <br /> cc) co Co <br /> Sample Container Q ¢ a a ¢ Q Q ¢ ¢ V ° °N' <br /> Sample ID Date Sampled Time Type Type w w w w w w W w W `; Comments <br /> -Z2.-moo IZ.IU . 4r j <br /> G - 17-I0 Vo p'5 <br /> --a sU SoA e 6fA-kF 7C 7� 7t <br /> - zo, z-ao <br /> S-z z--6. 13 30 1 ! <br /> �GW - <br /> zz-ao 1330 vo ' <br /> -10 -Z2-6-- yov ak+A4e— <br /> 'T—Z-L—CC' <br /> X <br /> F— 5—z L-a u 41,2 U <br /> i1/30 X X X <br /> Relinqui ed y (signature) Date 1 Time Received y (signature) Date 1 Time Total#o containers 30 Notes <br /> 4 co 100 .�-�3 0 .� Chain of Custody seals Y!N(� Fe- .5,5 5,5 , S.4w-ple f <br /> Relinquished y (signature) ate 1 Time Received by (signature) Date 1 Time Seals intact YlNlN6 SA—FI4 t <br /> / ' 7 o 1�1 SA11 s <br /> v +� � S 2S=a� / Received good condition! <br /> Relin fished by (signature) Date 1 Time Received by (signature) Date 1 Time <br /> Turnaround time 145kA42sr,� <br /> Sample disposal Instructions Disposal @$2 00 each Return to client Pickup T <br />