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�a <br /> AIR TOXICS LTD. <br /> t 180 BLUE RAVINE ROAD, SUITE t3 <br /> AN ENVIRONMENTAL ANALYTICAL LABORATORy FOLSOM, CA 95630-4719 <br /> (916) 985-1000 FAX (916) 985-1020 <br />'F C"IN-OF-CUSTODY RECORD <br /> Page Of — <br /> Contact Person tin e <br /> Protect Info <br /> Company Turn Around Time <br /> $ � , , � _ <br /> P O # ❑ Normal <br /> Address City State Lli Zi Bs <br /> Phone - o�/a3 FA �S p –� Protect # �� OCnC� _ ❑ Rush <br /> S°Z Project Name t o Specify <br /> Collected By signature j f r P4, <br /> Lab Field Sample I D Date 8�Time <br /> D. Analyses Requested Canister Pressure /Vacuum <br /> Initial� Final Receipt fz _9s , <br /> 13Y <br /> kC= <br /> Rely shed B (s ure me Pant Name <br /> I � Notes <br /> quisti BY atur I atafrime b 13 I Yet /,/� !C G( <br /> Rece1 ed By re) Dat rrle <br /> fished By( tureJ elrime <br /> BY liature <br /> Shipper Name Air <br /> �. Lab � d Ry. RateRime Temp (°C) Condition Custody Sejat Inlact? Work Order# <br /> Use t""� <br /> Yes Nq Non_ NIA <br /> �-5-0-�-1-3-1- <br /> Faun 1293 rev o0 <br /> �_ _ ----�L <br />