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C <br /> al cience Environmental Laboratories, Inc. CHAIN OF CUSTODY RECORD <br /> 7Service Center <br /> 40aLincoln Way ❑ 063 lommercialCiGe,Suite WO#/LAB USE ONLYZ'2(ZO i i <br /> Garden Grove, Date <br /> CA 92841-1427 Concord,CA 94520-8577 <br /> (714)895-5494 ❑� ® _ a © ON <br /> 1 of <br /> (925)689-9022 Page <br /> LABORATORY CLIENT: <br /> ADDCLIENT PROJECT NAME/NUMBER- P.O.NO <br /> RESS: � ak Skim A Wy1� WD^m <br /> clTv S 44� 56 PROJECT <br /> TCONTACT SA <br /> � . ���110.0 ` <br /> k STATE ZIP � . � <br /> VI JIIav UY` <br /> TEL: 1 E-MAIL: i�ryW 0,U ,r✓ W- REQUESTED ANALYSES VVV <br /> '(a -�sl - 03 <br /> TURNAROUND TIME: <br /> [:]SAME DAY ❑24 HR ❑48 HR ❑72 HR STANDARD <br /> GLOBAL ID LOG CODE <br /> ❑ COELT EDF <br /> M U <br /> - SPECIAL INSTRUCTIONSit <br /> : <br /> m <br /> U V N G <br /> X <br /> a p tp0 p^ O N e Opf Q '0 <br /> 2 Q <br /> USE SAMPLE ID SAMPLING MATRIX OF <br /> N <br /> ONLY DATE TIME CONT. D a i% r m w y a a a r v a a <br /> -126% 1ZZ� 1 (O1 X X X <br /> x <br /> -—0 -21 1Svo B 1 t �cI I x <br /> Gd✓-3 - i -21 <br /> w - C TIb <br /> tAl y <br /> XK <br /> Relinqub <br /> xkX <br /> t—F. <br /> � wReceived by:(Signature/Affiliation) )X( <br /> x <br /> Date: Time:V • <br /> p�j <br /> Relin shed by:(Signature) Received by:(Signature/Affiliation) Date: Time: A <br /> �L 2/� <br /> Relinquished by:(Signature) Co <br /> Received by:(Signature/Amilabon) Date: Time: 0 <br /> (n <br /> N <br /> - DISTRIBUTION:White with final report,Green and Yellow to Client. 06101/10 Revision <br /> Please note that pages 1 and 2 of 2 of our TICS are printed on the reverse side of the Green and Yellow copies respectively. <br />