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NEL LABORATORIES CHAIN t'F CUSTODY <br /> Reno - Las Vegas • Phoenix <br /> Prye;�Name: Project No.: <br /> ]To oN kir poirt <br /> Reno Division• 1030 Matley Lane•Reno, NV 89502 P.O.No.: Sam led By: <br /> (702)348-2522•FAX: (702) 348-2546• 1-800-368-5221 S 9 <br /> Company: Atln.: co O 'F <br /> a FMV Ian • Mt ke i X Analysis �a <br /> Address: 3310 SWttzrr Rna m° 0 4t o <br /> 1-uaWis f CA 95650 ; �4sr p o <br /> Phone No.: Fax No.: N ~ p <br /> a w O <br /> (916) 6S2-5i3} (916) 652 - 295 5 �. <br /> Billing Address: Expected Due Date: <br /> 4 <br /> 5N12 J <br /> to <br /> CD N v <br /> ICA <br /> Requested Turnaround: 5 Day(Normal) 48 Hr. 24 Hr. Other ci d ' <br /> 'o 1i m x ��Z���� t C <br /> Sample Date/1'ime Sample ID N.E.L. Identification " 2 a LU Remarks <br /> 6119 ITIS 19 5- 13 - 11- 1 ,t., 5 — XXI X X <br /> 6It9 1150 IB45- 13- — 14 X I X1 X <br /> 6119 1755 10%- 13-C-II S _ X X Ix <br /> 6119 1300 640 - 03- S- 14 S — X AIX <br /> Q19 1305 1610 - 0) - S -Itl S — X X <br /> 0119 1310 1640 - 01- S -ILV t 5 — X X <br /> 00 1315 6 - 03-14- 14 X X X <br /> 6119 132-0 16 40- U-N- JIL X <br /> (.10 315 100 . 01 - N - 1 I S C119 1330 1640 - 0 -C - I X X <br /> CustodySeal intact? Y N None Temp. Box x1 OW waaw�Wow so.sod Box M2 AHCI E.Ice Only Box M3 H-Hill <br /> p B.HNO F.Other M-Matlhim <br /> RW-RCRAWmer AO-Aqueous C.MS() G.Not Preserved <br /> SG L-lav <br /> Condition when received good SG.Swae. A-Aa ENkof u-Wlpnown <br /> Relinquished by Received by <br /> (Print) (Signature) Date/rime (Print) (Signature) Date rime <br /> 1 <br /> �6 e 11 (A �a c� / 6 - < y <br /> c <br /> 3 <br /> 4 <br /> This repot Is applicable only to Ne sample,litxw ed by Ne labamtory.The liability Of Me laboratory la limned to Me amount paN lar this report,This report Is for the exclusive use of Me diem to whom It Is addressed and upon the comill on that the client assumes all liablltly for Ne larther <br /> 0 1111. rA the-1I'll O,11111111=11• <br />