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CHAIN OF CUSTODY <br /> Client: Carolina Biological Supply Company <br /> 2700 York Road TL Aquatic <br /> Address: Testing <br /> Burlington NC 27215 ° <br /> Laboratories <br /> Project Manager: Keith Barker <br /> 4350 Transport St., Unit 107 <br /> Phone: 336-538-6377 Ventura, CA 93003 <br /> (805) 650-0546 Fax (805) 650-0756 <br /> Fax: <br /> Email: keith.barker@carolina.com <br /> Purchase order No: Keith Barker <br /> Sample Sample Sample Chlorine Number of <br /> Sample ID Date Time Type* (TRC)** Containers Testing Requested <br /> PS w/Phenol `1 iQ j L F-1 1 Toxicity-California Haz Waste <br /> PS Shipping I Lf PM L 4 1 1 Toxicity-California Haz Waste <br /> PS Embalming 4 L ` 1 Toxicity-California Haz Waste <br /> Special Instructions: <br /> **Note:Total residual chlorine must be taken immediately after sample collection if sample is a chlorinated effluent. <br /> •L-Liquid,S-Solid,SS-Semi-Solid/sludge, RW-Receiving Water,GW-Ground Water,E-Effluent <br /> CUSTODY TRANSFERS <br /> Custody <br /> Relinquished by Received by Date Time Seals Temperature <br /> (signature) (signature) (mm/dd/yy) (hh:mm) Intact? Received (°C) <br /> (Yes,No,NA) <br /> N/A �C <br /> x S q-12-t ICES <br /> N/A <br /> N/A <br />