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Ir <br /> -� OCHEM Environmental Laboratories CHAIN OF CUSTODY REC D I <br /> 780 Montague Expressway,Suite 404 <br /> San Jose, CA 95131 Date a 4• -j° V Page Z— of -� <br /> (408)955-9988 - FAX(408)955-9538 <br /> TESTS REQUIRED <br /> CL1 NT - PROJECT NAME <br /> G 454.,j-,Cr <br /> ADDRES 1£S 3SlJ . �A L t srI Tt� Q PROJECT MANAGER co X <br /> LU -0 <br /> sT�r. i b.0 [ff 4-r"-2p-7 PHONE NUMBER = _ = m J <br /> CL <br /> T EL ELN it3 J <br /> a?O 9 PSto . D 1 G to w o m <br /> SAMPLE LOCATION MATR IX NO. OF o LO U)N 0 Cd <br /> I.D. DESCRIPTION DATE TIME AIR WATER SOIL CTNR v co ow co co n 0 Q <br /> Full.,rca 3� .1c . 1 z ss 1C I X X <br /> 13(. S ' L> SS eq.-tr.. 53 I'3fl X f 1( K <br /> Bb- loa ` �O' ,¢•,x,.93 2:D V t K <br /> t3� 35` D4-4 .12 X ! u A <br /> a r.2t:.`t3 3.'lop ZC <br /> lzq-so n � 62 SA .2G-�.� 3 :22g! <br /> �-u_91 3.' S i' <br /> Sam eli is by: Received by: Date Time <br /> Relinquished by: Received by: Date Time <br /> Relinquished by: Received by: Date Time <br /> Turnaround time: i`/•di7 <.6. Special Instructions: <br /> 24 hr. 48 hr. Normal(3-5 days) <br />