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www.{ linc.com CHAIN OF CUSTODY <br /> g AND ANALYSIS REQUEST DOCUMENT <br /> Mr.Makmund&Ms.Kireveva Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Customa Numbs: 3018628 � j38 <br /> Aam23607 Hanson Rd <br /> Tracv.CA 95304 <br /> Phone: (40BA02-1748 Fu: g <br /> Funad Address: y <br /> Conuct Person: c yy <br /> Prajev Name: ?I4�)-F1-4 Corral 4016w I'�d'• �, a <br /> Purchase Order Numbs: ¢ <br /> Quote Numba: <br /> S >r 1 <br /> Rush Analyse: 5 Day❑4 Dry❑3 Dry❑2 Dry❑24 hour m 8 F—L <br /> Rush a—apwoti b,ea(a,na(s): Z # <br /> Eketronic Dave rramfa: (_ ¢No❑State❑lit Other. t$ <br /> U + <br /> Sampbog Fee: Pickup Fee: o d 8j F <br /> Composaor Soup Date: Tare. <br /> SamLocanon Deuription Date Torte 8 � d <br /> Sampled Sampled S6 Z <br /> O TL�u& 81an k 11412.1 <br /> G1 12- <br /> ELS L L �C <br /> mi <br /> em.r><1 <br /> W Relinquished Dote: Time: Relinquished D. Tone: R uilh< Dme: Timc: <br /> 11444 <br /> D'�O� �n� BY: Date: Tane: Raaved By: c: Tune: R. <br /> L� I 2��1 i 5 ' �t I �. e: �5� <br /> Corparata Olficw a Labor,sm <br /> as3 Coryo amn save ry z5aoo ser Laboramry 0111 a t�borarory o1n4a a Labom tory a Lab—no <br /> Ngeooagt Road 583 E.LdWo Avenue ry <br /> Sante Paula,CA 93080 3442 Emprefe Ddve,s"..D 8415 W.Goanen Avonuo <br /> TEL:(805A92-2000 Sin.CA 95215 Chloe.CA 95926 Sen Luh Obhtpo,CA 93401 VMle,CA 93291 <br /> TEL(209)642-0182. TEL(530)343-5818 TEL:(805)783.2840 TEL:(558)734.8477 <br /> Env FAX(805)525-9172/Ag FAX(BOS)I92-2083 FAX:(209)842-0423 FAX:(570)343.3807 FAX FAX:(559)734.6435 <br /> CA ELAP CerL'rabon No 1573 CA ELAP Cervflun n No.1583 (:a FI aD('.wMaraxn,.N0.�Zn �{(805)7832912 —CA'EtiVPC— on o. <br />