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AIR TOXICS LTD. 180 BLUE RAVINE ROAD, SUITE B <br /> AN EviROHlvEKAt ANALYTICAL LOORATORY FOLSOM, CA 95630-4719 <br /> (916) 985-1000 FAX (916) 985-1020 <br /> CHAIN-OF-CUSTODY N° 004020 RECORD Page 0 of <br /> Contact Person AiRre-r.1 Project Info Turn Around Time. <br /> Company -4r wG P O # G G <br /> Address i 0AJ'C. rte„ p#ev ❑ Normal <br /> City c Stale Zip � � Project # o,�� 4 Y �•- <br /> Phone ( � - o /�'3 �Sh <br /> FAX G - Project Name Spocily <br /> Collected By s+gnatum -5r/-0(f/t-Toll/ <br /> Db Meld Sample I D Date &Time Analyses Requested <br /> Canister Pressure/Vacuum <br /> Initial Final Receipt <br /> � - - rgcz TSP <br /> A; # <br /> r /Boo y. <br /> x� y <br /> I <br /> Y n n <br /> Y .. <br /> f f f <br /> jYA# {S{L r <br /> fry <br /> t { y X <br /> Roll ed By. o8od PriuNam Notes <br /> -/b ` <br /> Relrlq Wad Br{ Rkelved Br( e) Da e <br /> t <br /> Mw BY($IgrwWe) Osie/Time Recelvsd a e <br /> Shipper Name Air Bill tl ed Ely, OTem °C C nditi Custod Seals Intact? Work Order N <br /> Lab � N <br /> E}gg Yes No None /A - 7 q) <br /> Only —�—d <br /> Form 1293 cw 06 <br />