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Columbia Analytical Services, Inc. Chain of Custody FA7SContact: Karen Ryan <br /> 2655 Park Center Drive,Suite A•Simi Valley,CA 93065•805-5264161•FAX 805-526-7270 <br /> Project Number: P0700023 <br /> Project Manager: Karen Ryan j <br /> H U 11 <br /> F vii <br /> N <br /> Sample <br /> Lab Code Sample ID #of Cont. Matrix Date Time Lab ID <br /> P0700023-001 MWl Water 01/10/07 I330 Weck Labs <br /> P0700023-002 MW2 Water 01/10/07 1210 Weck Labs .. <br /> P0700023-003 MW3 ` Water 01/10/07 1116 Weck Labs <br /> P0700023-004 MW4 Water 01/10/071022Weck Labs <br /> Folder Comments: <br /> Lo A <br /> N <br /> Special Instructions/Comments Turnaround Requirements Report Requirements Invoice Information <br /> RUSH(Surcharges Apply) —I.Results Only <br /> PLEASE CIRCLE WORKDAYS vtesults+QC Summaries <br /> PO# <br /> 1 2 3 4 5 —IIl.Results+QC and Calibration Summaries P0700023 <br /> _,Z�TANDARD IV.Data Validation Report with Raw Data <br /> Requested FAX Date: PQL/MDUJ Bill to <br /> Requested Report Date: 01/25/07 EDD Iz t1�C'2 <br /> i <br /> Relinquished By/ �^ <br /> � (�� ,�a� Received By. ���, , �/ ''���Q� +�(1,� Airbill Number. <br /> C(��nCPam 1 <br />