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A 110Analytical <br /> e50336,rty aPSciences C495-03 CHAIN OF CUSTODY <br /> ` P.O.Box 750336,Petaluma,CA 94975-0336 <br /> I4952 <br /> (707)769-3128 <br /> Fax I I <br /> x(707)769-8093 Lab Project Number: <br /> Client's Project Name: <br /> Client's Project Number: —7 <br /> CLIENT INFORMATION <br /> Company Name: rJRC GeoTracker Required Yes No <br /> Hdaress: „oos } � I(SeoTrackei Number. <br /> 5o I TURNAROUND TIME(check one) <br /> Contact:C_A�twS �_A r4ci1EZ Same Day <br /> Phone#: �S� Ste- o(ob`l 48 Hours 24 Hours <br /> Fax#: Q--a2) - lel— 4tS0 5 Days Normal Page t of I / <br /> e-mail: csow�clncZGJvtrcc. c.a,n� <br /> ANALYSIS <br /> e <br /> Date # Presv o Lab <br /> Item Client Sample ID Sampled Time Matrix Cont. YIN Comments Sample# <br /> 1r� <br /> 1 1 rA,44. 4A l 'I i4 ro t1-13 rk0 I_ I 3 bZ?l <br /> 2 <br /> 3 RaK AI to 1 11.13 jtX4 L Im <br /> 4 _ <br /> 5 DjWr,n tvvtTEtztgL�� ; 2`1S S ►,;,J � - _ <br /> s <br /> 7 is rl <br /> lso <br /> 8 Z <br /> 9 a <br /> ,o <br /> SIGNA TURES <br /> Sampled By: <br /> Relinquished B : Received- / <br /> Signature Date Time Si rlature Date Time <br />