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Sample T catlspartation Notice 180 BLUE p,aulNE ROAD,SUITE B <br /> TD* Rainqu shi ng,sigratare on this documort indicates that sarnpit is be.ng shi-ped n comp ianea ML SSM,CA 95030-4719 <br /> AIR TOXICS with al. applicable vocal, State, Fedora•, national, and international laws, regulations and (918)985-110W FAX:(916)M-1{120 <br /> AN ENYIRCNMENTAL ANALYTICAL LABORATORY erdirwne3;s of any kinc.Rif TOXiei Limited urea:ta.°apilicy with respe:t to the collecWri. <br /> handing or shipping of these awnples.Rei•nq-ishnR 9IVM*re also nd,cstea agreement to hold <br /> CHAIN-OF-CUSTODY RECORD hornless,defend,and inaemnify Air Taxies limited againr Eny claim,demand,or action oP any ,r <br /> 1 1 1M aJ V V+. 1�ta k nd.relatac to:he col4clion,handling,or shipping of samples.D.O.T.Hot ine 1,80Q)467-4422 Page of <br /> Cont9,Ct Person "IeF— Projea inlo; Turn Around Time: <br /> Company �A� �t�ts[ +a ,~t �f3�r ti ST%ii - r,t.•r_a s�,s><C P.O.# kNonrlal <br /> X�l�ress 't tits t• i-��+ r�'eots �'b - Gity` o14 swe�' Zip 1 Project# __.._. ...„--------•• U Aush <br /> Phone (�) Alot- 3L`�° {-zA 4M- 3ci�f3 Project Warne <br /> IFr��ttT�� Specify <br /> Collected 8p:54gr.stU. ,L”. <br /> I �� <br /> Analyses Requested Canister Pressure t VaCUurn <br /> yield Sample 1.E3_ Bate Time Inisal Final :ARC.Qip%: <br /> }I �t�-•5 - b 5 lncs _...---. .. . .. . .. . ......_ 'iia °. _�,�°°' Via. " " <br /> $ ' <br /> -7 <br /> VE! t- ILYG�' o 15 int arm m2.8, ;4 .. <br /> .71: � .::. <br /> > Sc M::3i:e• <br /> �, rtto A.d�.o�:is�tewre} natarr;,,e Motes; <br /> Relinq ho (S• ural Dd 106 ed : Kpatura) Dat me <br /> /1' ;rt A <br /> Fmlinquahed Bp:(Sigr3atura) l}atefl imn F�wivad 8�. nature) a e`rima <br /> „. : :... <br /> .-...�- lei 1 •,<::; '• '' �,:>i'>i;• .n••:r • <br /> 0-:5 NG one <br /> .•.::•. Ick' 1�3� <br /> �ii FLrm, rev.[e <br />