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s .� .Kwr. ',� _ .u�*ry -s•;:� rte` a `a"3s' - _ f_. r�'r` - _ <br /> R _ <br /> 2 - { <br /> CHAIN OF CUSTODY RECORD 13C Lagtl,rmbar � ' " � --- <br /> Client name r� Project of POA Analyses rcquued <br /> V <br /> Address �, r,ona e <br /> 3 's` S1_ <br /> Cdy.Stale,Zip ,,.�•� L{y 4iapell aftonllon <br /> Type, Samplodby Numbef Frac <br /> ublll� res - - <br /> sample Gale Time See key al �.� ------- <br /> number sampled s impWd below Sampledesu,pllon conlalnors t cad llpm,a s <br /> SOW= Print Name Company GalTime <br /> RoMquishedby CiS-Le- D tho oc�dJ^ <br /> 1.Racalwdbyt� �3'J. 6Qae� <3C' Sic �afF tv a9r s� <br /> Relinquished by ? <br /> Flacelv%d by <br /> ll <br /> RMtnqulshod by _'--�L <br /> Redbsd by tsbnrrtcry /"�?Cf.r <br /> .Prsnasau M#S ��9-23IEZ Note: <br /> i^ Samples are discarded 30 days aha[results are reported unless other arrangement!,are madu <br /> 42SE <br /> ftM#8tratsl L•msryvllfi,CA 41888{415y 426.2900 <br /> H4Zerdaui samples will lou returned to chant or disposed of a1 CJ.ent e,punse. <br /> ❑373"FW O@U Avenue,Psaladem,CA 01185(816)795.7553 <br /> ❑1280 Pmahco AsWXM AnehilCA 92885 'KEY. AO—A.quoous NA--Itonaqueous SL—Sludge G4'1--Groundwalar SO—Sod OT—Olhor PE—Pulmloum <br />