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SectionO Chain of Custody aQJ Analysis Request r� <br /> Consultant "'Q k" `e Turn Around Time Superior a1 ical, inc. <br /> Address qO ,r (circie one) <br /> Cv Sa Day 72 Hrs 1545 <br /> Martinet, Callfarnla 94553 <br /> Phone N �!u 1 LZ 12.3 No. 84 48 Hire <br /> Project Manager LJ Lk Martinez l(5l01224-!512 Martinez 215lO1229.0166 <br /> +M Normal 5 Day SanFrandsco 1415)647-2081 <br /> Alternate Contact Q u Sampler: Ht Z.1 <br /> Project No.0 203012-1 k P.O. No. Regulatory Agency: <br /> Section Ik Analysis Request <br /> mpling Remarks <br /> b ❑ Bkwamedtation <br /> a P ❑ Underground storage tank <br /> 3 <br /> Laboratory 0' m ❑ MonitarinQ <br /> Sample 3 W m o g o C] ❑ Recent Contamination <br /> Identification Matrix S o �- ❑ Unknown Compounds <br /> 3 <br /> 4 <br /> 5 <br /> B <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> 11 <br /> 12 <br /> LJ <br /> ReknquidW by ' Reowu'd Leh please initial the following: <br /> Or ganrxaa . ._ 7r, IfIr Organisation — h T 1 — Samples Stored in Ice <br /> Rairnquis M by /Tiara Pisa iced by aa/Time Appropriate Conteinem <br /> 0 enrzatian 9 anizedon OAs <br /> without Hs@dWm <br /> RebnquishedOate/T-me Raceraed by =&9ANne Commar s <br /> OrQanizaaon - - 7,-(9 Orgp nizatlon - <br />