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a_ <br /> a <br /> x <br /> DeNlenno/Kerdoono <br /> - <br /> O a Recyding For ACleaner Envimnment' Chain o Stody <br /> N 2000 North Alameda Street•Compton,CA 90222 a <br /> (310)537-7100 Fax:(310)639-2946 <br /> n <br /> m ^. <br /> CA-0M ELAP Cer4ficato MM7 <br /> µ ..�- -..«.,..,......-...w.......«....«..:._.........+..:........».....«..........:.....:.«.......•...__............:......::..._.. .:........:. .-,, ,.,,......_-------- ..,,,.......... .........- ,.--._.�,-............... _ <br /> N Client. , 1 1 1 j Contact: Tel, Fax: _ <br /> i' <br /> Code: <br /> Qty-.. State: Ca _ <br /> ""Sam ler(s} SignatarProJecName: Clarifier <br /> s <br /> ;-M <br /> Project Manager: GATELY Approved Byt <br /> O ....... .............,.-.. ..... :. ..«.ti«.................._........... _.. ....--- .- .... --- '_ -- ---: ............... _ <br /> Due Date Regular ❑ Rush Days Comments;. <br /> .�.... .... .._ _ ............. ...._ <br /> .. . w ... �...., ........ <br /> W Lab µDate Time No. of <br /> Sample Description ID Collected..... Matrix Containers : Analysis Requested, <br /> N ...,.,,......�»....�. ..................... .. ... .- <br /> Gran .'� <br /> .....:.............. �' _:........� ._... :!f i? j i Liquid � � TPH Gas, TPH l3i®sel,TPH Motor Coil, Cam-1�, BTE%: <br /> ....... <br /> s <br /> n <br /> < ^:..........:....:...:..........:........•___,..,..-........,' ..,,.,.q.,:-..r.,...,.,..........,.,>..:,,. ............ ...,....... .. .. ... -•. -... ..•. ... .,.,......,.,,.. ---- ...•............:.............. <br /> �•S <br /> .......... <br /> t <br /> Sample Conditions: Seal fri t Broken ❑ +None; Temperature ❑ Cold ❑ Roam; Other tS � �"` �... <br /> Relinquished by(Siga -- Received by (signature) -< � �� Dateffime� <br /> Z. <br /> o Relinquished by(Signature) i ,;` Received by (Signature) y ,�y Datefime <br /> Relinquished by(sig re) Received by (Signature) 1 - Dateffime <br /> SPECIAL INSTRUCTIQNS. ::,.........:,.:.:.... ::..:.::.,:........ .. <br /> Results to.. sgatety6aSburyew.com ! lyancy a@asburyenv com ! wmorse@asburyenv.com <br /> WHITE COPY--Client PINK COPY—Laurier _...._:...::............:... Page <br /> � f <br />