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ICI, Performance Products LP Chain of Custody <br /> ICL Performance Products LP Sampled-By: bate: <br /> A\0 10667 Jersey Blvd. K.Vaughn 2/24/2014 <br /> Rancho Cucamonga,CA 91730 <br /> ICL Performance (909)983-0772 Page 1 of 1 <br /> Products LP FAX(909)984-4770 14-02-1802 <br /> Regert Toy Alfredo Aviles Analysis Re u �ret C EDYTEtYlQth1 Other, <br /> otpaz�y, ICL Performance Products LP <br /> Ir-O'S'S': 10667 Jeresey Blvd. <br /> Rancho Cucamonga, CA 91730 <br /> ; 'hgt�e 909-983-0772 <br /> TAX: 909-984-4770 <br /> Into cYng C+ ntacti Afte o Aviles <br /> CQpatiy: ICL Performance Products LP <br /> Address 10667 Jeresey Blvd. <br /> Rancho Cucamonga, CA 91730 <br /> ICL,San Ie ID Datef Hine. Matrix Tern erature ,'pH. . ? Z <br /> Stockton Soil 2/24/2014 10:38 Solid X 1 sample container <br /> I'ro'eet Inf4rmatian' Rlin uished 6 Date Time Received b Date/Time <br /> —6toc ktc)O AS 1 Alfredo AtMe-s �-ha-y �7- o ,�,) <br /> 2 I/,t�C � /�(" i��� 2 b61 f/114 c-zz f r 13��'- <br /> 3 3 <br /> 4 4 <br /> T <br /> 5 5 <br /> m <br /> Make a copy of the completed form that will be placed with samples leaving the plant. Place the copy in the program forms file for this year. ° <br /> Doc#RC-1802 Revised: 10/07/13 Prev Rev:04/08/13 N <br /> Return to Contents y <br />