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• ASSOCIATED LABORATORIE !LA <br /> 806 North Bcrtavla • Oramye CA 92868 <br /> Chain of Custody Record Phone (714) 771 6900 • Fdx (714) 538 12 <br /> Company 7-14 F7 i r f 1, i�r`— �� - PhorKrt' [t r ') ' A L Job No ` C �G l ✓ Page of <br /> Protect Managert J�tI Fax �I G 12-( <br /> (� Analysts Requested Test Instructions & Comments <br /> Protect Name ` �i Project kSite <br /> Name <br /> and <br /> Address <br /> Sample ID Lab ID Date Time Matrix Container Pres <br /> Number/Size <br /> X, <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> r <br /> 7 <br /> r <br /> 8 <br /> 9 <br /> P <br /> 10 <br /> t1 <br /> S <br /> l2 <br /> 4 <br /> 13 <br /> ti <br /> 14 <br /> 15 <br /> Sample Receipt-To Be Filled 8 LaboratoryRelinquished by 1 Relinquished b 2 Relinquished by 3 <br /> P P Y <br /> Sampler <br /> Total Number of Containers y Properly Cooled Y I N/ A Signature �r� Signature Signature <br /> Custody Seals I 1 NA Samples Inta t Y/N/NA fb*Printed Name Printed Name Printed Name Y <br /> Received in Good Conditio Y 1 Samples Accept DateZ Time �y 1 I Date Time Date Time y <br /> J( ( c C <br /> Turn Around Time Received By 1 Received By 2 Received By 3 <br /> Signature Signature Signature <br /> C 1Normal RUSK Q Same Day 1348 lira Pnnied Name Pnnted Name �� I Printed Name <br /> ❑24 hrs ❑72 hrs �A <br /> Date Time Date Time 1 -bate Time <br /> Lf <br /> r n .nn wbor I .hr +tn h,. n,nF ProiartlArrnpnt Nininsr G,- <br />