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I' l7tL t•.NVIKV:V �1tLV lAL <br /> •ANALYTICAL C MISTS <br /> CHAIN OF CUSTODY <br /> DATE : ' 1( ( �2�/ 84 <br /> CLIENT: 6CA t" I(,ktf LL- <br /> ADDRESS: <br /> LADDRESS: I21`15 �i�r�luaar� H� �zI�P, � ' X638 <br /> PHONE NUMBER: ZoQ1�2-6-7 f <br /> PROJECT NAME : 2-6-7ZZ} 57acrayxf d o �1�� Tl1dmf" f GA <br /> PROJECT MANAGER: Y 14-ri-1-4- s `� <br /> SAMPLERS: i �tJ • 1/ <br /> sA r! NL L S- r "I n C C.(A:AnjL/ <br /> C C' S T GQ N[z.lA Di 4f f Kvitzmvt��� S�r� i c t s <br /> Sample Location Date Time Number of Tests Date <br /> Number Descri tion Sam led Saam led Containers Re wired Needed b <br /> Igo bclo�v uaAF-Lxh ' -/$q l •�1/�►"t f X <br /> I <br /> 4 q <br /> e inquifhed By: Received By: Vate Tir <br /> elinquished By: Received By: Date Ti. <br /> e inquished By: Received By: ate i <br /> ICAO.'OFT10E - as3 CoRPOR%TIon STTiLE7- P.O LJDx 272 6RANCH C)MCE- 2SX'STAGE COACH ROAD <br /> • LAB0FLATORY SANTAPAULA.CALIFOR.HLA"D&,')Q72 • LAB."*ATORY SO(3C7Oh',ULIPORNIA 952L <br /> W6 )S2S.7b24 - (2N)91211a; <br /> FAX 01�")S254172 FAX Qg;i 90.0123 <br />