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l.FrRM OT t U'VC WT fiELVT{I) L)L,N Loy Aumoer <br /> tame 9=4 An, )quire <br /> C%Y�� hJt f 6v�V1n¢��alZ QK ,�� Ioc. -2104 - x.17 —2. <br /> Address '/ Phone q <br /> 17875 \/0`n OKV"CIF^ Nv¢ •200 114 .440 - 7700 <br /> City,State,Zip Repo r ttention <br /> 7-�� ►tee C°i!) 82714 rnCC-0 rCJ\ FQ�A <br /> Sampled by � Jea�D <br /> Lab I-6 X Vtc J/}} (\1�1�tC(o NuD. <br /> Sample Date Time See W S key 1 1� of <br /> number sampled sampled below Sample description containers 2�gQ Remarks <br /> B5'2 4 - To) M So u � <br /> 85-5 so '� ✓ <br /> BS10 So <br /> B.-2 No S¢„ -- <br /> 60 2 4 - Tt rs S0 CQ i <br /> 132' <br /> so `` L/ <br /> -W iey+14 ;s't, AQ 1I 2 ✓ <br /> (� Signature Print Name Company D/a�tel' Tim- <br /> Relinquished by 1 ; � `�N tj P4 gpo Gi2l <br /> Received by JJII/NV <br /> Relinquished by <br /> Received by <br /> Relinquished by <br /> f <br /> Received by Laboratory <br /> B C ANALYTICAL Note:Samples are discarded 30 days after results are reported unless other arrangerrt s are made 'KEY AO—Aqueous NA—Nonaqueous SL—Sludge <br /> ❑ 1255 Powell Street,Emeryville,CA 94608 (415)428-2300 Hazardous samples will be returned to client or disposed of at client's expense. GW—Groundwater SO—Soil OT—Other PE—Petroleum <br /> ❑ 801 Western Avenue,Glendale,CA 91201 (818)247-5737 Disposal arrangements:_. <br /> ❑ 1200 Pacifico Avenue,Anaheim,CA 92805 (714)9780113 <br />