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2852 a Irvine CA 92606 (949)261-1022 FAX(949)261 1228 1 q OIL <br /> 1014 E coaiey D" <br /> A Conon CA 92324 (909)370-4667 FAX(909)370-1045 r p9 <br /> 3484 Chesapeake or 54,118 805 San Diega CA 92123 (85a)505-B596 FAX(858)505.9689 <br /> 9830 South 51st St Suite 0-120 Phoenix AZ 85044 (480)785-0043 FAX(480)7854851 r <br /> 2520 E Sunset Rd 93 Las Vegas NV 89120 (702)79a 3620 FAX(702)798 3621 �- CHAIN O F CUSTODY FORM Page r Of <br /> Ciler�l Name/Addresst � � Prolect/PO Number <br /> � �'Y ,� y �v Analysts Required <br /> L , <br /> Protect Managers- <br /> Phone Numher ` <br /> 5am¢ter Fax Number <br /> .►� '� �? <br /> Sample Sample Container #of Sampling Preservatives W <br /> Description Matrix Type Cont DatelTtme <br /> Special instructions <br /> Retlntshed BY <br /> Date fTime Received by Date lrime <br /> , ;; Turnaround Time (Check) <br /> same day 72 hours <br /> Relinquished By Date 1Ttme Received by Dale!Time 24 hours <br /> 5 days <br /> 48 hours normal , <br /> Relinquish By Dai IT } Receive4ia h Dalemine/ Sample Iritegrry (Gheck) <br /> lGL ifG� Uintact ` tce <br /> Note 6y Inquish ng samples to Del Mar An ytical,Client agrees to pay for the services rd ain of cus dy form and any additional analyses performed on this project nPayment for services Is <br /> due within 30 days from the date of invoice S mple(s)will be disposed of after 30 days , <br /> COC-GB <br />