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lqR.,v.&^ W_1011 <br /> N. f <br /> )r n s e c o Ps•^cf� <br /> e.,f• <br /> f CHAIN-OF-CUSTODY RECORD <br /> v�..:PLER:($7Sr.Qlur�� <br /> Dbie shipped Curitr_�� <br /> v f Airt:ill Yo. Cxler �o. <br /> ,e <br /> k�SHIP TO: r SEND RESULTS TO: <br /> Clitnt,ame <br /> Easeco-Ca; Lab <br /> 2544 Industrial Eli d. <br /> Addn'cs �^ ' <br /> ;,A West Sacramento,CA 95691 I `. i - C;•5 <br /> (916) 372-1393 ci 1 r�r7. ^S:'C..Z'1 C" <br /> ATTENTION: <br /> to ti ' �C/� <br /> PROJECTNO. P.O.\0 <br /> _•'� . <br /> 'PR0JECTNAA.E -� <br /> t aRcJinquish'cd �y: (Signature) <br /> Received by:(Signaiure) Date Time <br /> { ! <br /> � !' <br /> 1i 1 Pk <br /> rf;�tia � iri 1 . Datc Timc <br /> Relinquished by: (Sr�rarure) Received by: (SignanireJ <br /> Received ---lab'by: (Signciure) Date Time <br /> i Relinquished by: (Signciure) <br /> at <br /> lm_ . .._ •17atc Timc <br /> ;Relinquished from lab by: (Signature) ReceiPed by: (5ignorure) <br /> {0 ANALYSIS REQUEST <br /> Date Time Sample Condition <br /> .Sample ID Sa*nple Upon Rcccipt <br /> # ;�Tumbcr Description Sampled Analysis Requested <br /> 13 <br /> r•itL �•.l +�J` rr+• i '{•�i 1 'lam_ �� �..4 t•i�l i <br /> r �• rr .�f.'rr��. J' r 1 I <br /> ,r,•= .��:r: 'f:.! <br /> .�•�'�:-�. —%`� fr' �. 'J �f.•., r• i• ..� J/•7s•.;i'i'r,�.:rl,r;,,,�_>/ S <br /> / 7Jl O� (�" � ��,'` y � ' �' �/ .�•% � %-moi'^ •� <br /> .�, ,; 1• ;• , . .�.` ,rte ;�.. �•:�' .1�f „' � _-___�—•-- <br /> i .... =r;`1.'r ri.% Com'.• '— _ '`` —�r <br /> pceial Instructions/Comments: c,r,ti4Fii5 REC• y <br /> 1.•T-C-T <br /> UNUSED PORTI43,S <br /> OF NDN-AQ <br /> F 1 L 14'11 T BE FT �'FD Ir 'sV L- <br /> E1 :ted <br /> �4�eytical 00 <br /> Immediate RUSH (fo•t00% rurchuir) _Standard <br /> A.T's: Attention ( 96 rurehLr(e) <br /> Cal Lab ID Number: (for lab we only) <br /> _ gRrYlrea �/E�j <br /> r` Client Retains While Copy Only <br />