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Axgo­n -Molle Labs CHAIN OF CUSTODY__._... <br /> ANALYSIS <br /> 3008 McKittrick Ct.,Suite N • Ceres,CA 95307 (2091537-7836 { ALL SAMPLES TO BE ANALYZED USING <br /> I METHODS AND DETECTION LIMITS <br /> ESTABLISHED BY REGION---- <br /> PROJECT NUMBER OF THE STATE WATER RESOURCES <br /> 4035-q315 CONTROL BOARD. <br /> 11 <br /> CLIENT 0 <br /> N��1:� hGr INSTRUCTIONS: P.O. No. <br /> 00 <br /> 4pt`11l V <br /> SITE <br /> o d< o <br /> N <br /> i <br /> ILI 06 i <br /> SAMPLE <br /> SAMPLE I.D. MATRIX mte t1 TURNAROUND CONDITION LASSAMPLE# <br /> �w- 01-I5-3 501 ( l+ 4t q) _ ON- kfL 5.1�-� 11171 <br /> Sw- 03 -3�l4 x Z <br /> 175 <br /> &)23' <br /> CD-p�- LC &)23' 176 <br /> x f <br /> X 177 <br /> SAMPLING II/ DATE TIME SAMPLING <br /> COMPLETED PERFORMED BY �7 <br /> RELEASED BY DATE i II�E RECEIVED BY DATE TIME <br /> /�'-5 <br /> RELEASED BY DATE -1 IME RECEIVED BY DATE TIME <br /> RELEASED BY DATE TLIAE RECEIVED BY DATE TIME <br /> SHIPPEDVIA DATE SENT 'iME SENT COOLER M^ <br />