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SSOClATED LA►BQRATORiES <br /> 806 N Batavia ®Orange, CA 92888 <br /> (714) 771-6900 ® FAX (714) 538-1209 CHAIN OF CUSTODACORD <br /> Date 7- Page of <br /> CLIENT <br /> ADDRESS — _ J � } Zu PROJECT MANAGER <br /> 94 lofZV� <br /> Samples Intact Yes No <br /> Z' PHONE NUMBER County Seals Intact Yes No. <br /> PROJECT NAME Sample Ambient_ Cooled-X Frozen <br /> SA P ERS (Signatu ) Same Day 24 Hr <br /> C,It ,5 S 1 kX"" f Regular �48 Hr <br /> SAMPLE LOCATIONATE TIM SAMPLE TYPE NO OF SUSP <br /> NUMBER <br /> DESCRIPTION WATER AIR SOLID CNTNRS CONTAM TESTS <br /> i REQUIRED <br /> �\}' <br /> L1 100 <br /> ! IS <br /> C 2.tS <br /> 5MV c:K 1ul f �1 `1S <br /> GCMIt, <br /> 70C 11 �fZ fn <br /> elan a ed by (Signa r ) ceiv y nature) <br /> Date/Time I hereby authorize the performance of the above <br /> Indicate work <br /> el quihe (Sig lure Receiv aboratory for analysis jDate/Time <br /> (Signature) <br /> Spe ons <br /> IS RIBUTION White report Yellow to AL, <br /> n <br /> in to Courier <br />