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SSOCIATED LABORATORIES <br /> 806 N Batavia • orange, CA 92868 4) 7CHAN OF CUSTODY 000RG <br /> (714) 771-6900 • FAX (714) 538-1209___N/ 10 9,66M­7Z S'/ DateJ page�_ of � <br /> CLIENT <br /> ADDRESS 6'r ��� Bv�2 G�2 PRO��MMNAGER <br /> ;� Samples Intact Yes No <br /> CiAle- <br /> L4--V <br /> PHONE NUMBE '� County Seals Intact Yes No <br /> Sample Ambient Cooled— Frozen <br /> PROJECT NAME C�t r SAMPLERS <br /> ( SameSre <br /> Day- 24 Hr <br /> k / Regular <br /> 48 Hr <br /> SAMPLELOCATipN DATE TIME SAMPLE TYPE_ NO OF SUSP <br /> NUMBER DESCRIPTION W ITER AIR SOLID CNTNR i CONTAM TESTS <br /> a/ I <br /> REOUIRED <br /> (voc,)$61-o"(,P 'T <br /> �P06EMw3 13a <br /> 5pc4 Z i <br /> 36 <br /> Sic��wtw� <br /> 73� <br /> s�cre- 941w 6l� <br /> 7 <br /> VAt <br /> TVKt�r &VID U U U <br /> Relinqui h d by (Sign to e) Received by (Signature) Dat TiIa hereby authorize the performance of the above <br /> Gj , lh Indicated work <br /> Aelinqui ed by (Signature) -R i y Laborato ysis Date ime <br /> (Sig <br /> Special Instructions –� <br /> DISTRIBUTION White with report Yellow to AL, <br /> Pink to Courier <br />