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MM <br /> Vlronex A Chain of Cu y Record • <br /> 3002 Dow Ave, Ste 406 <br /> Tustin, CA 92780 <br /> 1-800-847-6639 <br /> Client�fo t n[rCa,n6,fl4�.�, - Date s- LZ-OU Page Of <br /> Address o Sok Sy53 W'-'.J C'- ._ 9 Y�y?53 Project Name c5+6,1c r\. C.G.. <br /> Phone 4Ko) q2-Y-dSffq __Fax�4Sb) yz y-aS!�] Collector Client Project# <br /> Protect Manager -F D'A Batch# 7 ��� Proposal <br /> ro y <br /> m � <br /> � m <br /> N <br /> N <br /> O N F- C <br /> Q7 O O c0 <br /> O O <br /> I\ p c <br /> O O O O T LID O O ` U <br /> � N CO I� CO �-- T r <br /> 00 <br /> c'oco "0Q <br /> ¢ <br /> Sample Container ¢ Q a ¢ ¢ ¢ ¢ ¢ ° y <br /> Sample IQ Date Sampled Time Type Type a a o a a a a a a <br /> P P YP YP to ua ua w w w ur w w a Comments <br /> , 15 xz-va _./S 30 S 0"k Ag4,}.. I <br /> e 1 <br /> jLZ-oa Soh ��� - }� X zV <br /> G in/ -zz-uu I G1,5'G - '5--Z2 -o u r 5 Vas's >c x X <br /> ' S zz-� Id 30 I s Iv- 2'� �C <br /> D-ZO I S zZ-60 1G b ,1 4e-6f t. X 7{ 7L <br /> - 3.0' s Lz crd 2 X X <br /> �1 O S-zz-0<J 1206 0.1 +41i 7� X <br /> t~7- W S Cr W S� 1 <br /> i <br /> Relinquis d b (signature) Date 1 Time Received by (signature) Date 1 Time Total#of containers Notes <br /> 2 <br /> {>s ---X3 - c>0 -C' Chain of Custody seals YIN A <br /> Relinquished by (signature) Wate 1 ime Received by (signature) Date 1 Time Seals intact?YIN18 <br /> I <br /> C-4 J 0 0KItA., Received good conditioco �g `, �A�`��� s <br /> Relinquished by (signature) I D to/Time Received by (signature) Date I Time 4 Ute/ $,a n.Pie s <br /> Turn around time liL,41+KiJ ' <br /> Sample disposal Instructions Disposal @$2 00 each Return to client Pickup <br /> 7 -ry+c-, 5AY—?k5 <br />