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E2Cr I , Phone: LABORATORY: ( CHAIN-OF-CUSTODY RE D 1 <br /> envifonmenlallenginse ring consultants (4081 747-1414 /r <br /> 1220 Crossman Avenue, Suite 200 Fax: V�-eCJ( �e M ANALYSIS REQUESTED <br /> Sunnyvale. CA 94089 14081745 1089 <br /> Site Name and Address Project I — <br /> 0 <br /> �1 <�tk <br /> Se/(ryryry'ppp/II it /• /1 r Company J� ❑ <br /> V 0 0 0 0 0 <br /> a G N m O r t <br /> u Metrix Preservation E m m m w m 0 n <br /> C to N N <br /> '-y W <br /> O 0 0 m O W <br /> w W O O O N ry a <br /> Semple I.D. o F, p 2 O TIME DATE Location of Semple X m m e m m w n <br /> O O Q 7 O S w Q Q Q Q Q < c <br /> w a 3 m Z m w w w w w w u�i F <br /> L) <br /> C) l ✓ ✓ �. <br /> hG t u / r; <br /> N6 <br /> TURN AROUND REQUESTED: SPECIAL INSTRUCTIONS: The following MUST be completed by the laboratory accepting samples for analysis: <br /> ❑ 24 HOURS ❑ 7-DAY 11 Have all samples received been stored on Ice?_ <br /> ❑ 48 HOURS ❑ NORMAL y�.e "r'"r 21 Did any VOA samplos received have any head apace? <br /> ❑ OTHER 31 were samples In appropriate containers and packaged properly? <br /> Relinquished by sampler: i Det Time Received COOLER TEMPERATURE: <br /> C. <br /> Relinquished by: Date Time Received by: For Lab Use Only <br /> Relinquished by: Date Time Received for LABORATORY by: <br />