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u <br />CALIFORNIADEPART?vIENT OF TOXIC SUBSTANCES CONTROL <br />UNWIRONINIENTAL CHEMISTRY LABORATORY <br />700 11UNI Z AVENUE, BERKELEY, CA 94710 <br />SAMPLE TRANSPORT CHAIN OF CUSTODY <br />Receiving Laboratory:-Test <br />oIdeneriea /ITS <br />Sample Collection Site: <br />ECL / Sample Type Analysis Request Location of Remarks <br />Collector's No. Sample <br />Note: OSC - original sample container; SS - split sample; A - Aliquot; <br />C- Citrate WET; E - Extract; D- acid digest; T- TCLP extract <br />Released for transport by: <br />Transported to"Tcsth� by: <br />Time/Date: '669-A4 — <br />Zut.A.mooaa Received by: <br />/ %/Y r �y J, f C� T=e:Date: 3�i y�r S 3 <br />I. <br />Returned to ECL by: <br />Time/Date: <br />