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IT <br /> 7 <br /> C Calm a Environment orator es Inc. ZZ5�2� CHAIN OF CUS ODY RECORD <br /> E 744abor to <br /> 0 LCal{coln Way 506Cr <br /> 3 C mmemial Circle,Suite H WO#7 LAB USE ONLYGarden e Center Date 1 1 <br /> (714)895-e. mve,C 1-1427 (925)6d,CA 94520-8577 1:11:1 <br /> ❑_.. ❑ ❑ ❑ Page 1 of �1 <br /> LABORATORY CLIENT. CLIENT PROJECT NAME/NUMBER: P.O.NO.: <br /> S C <br /> ADDRESS: 1Vewkty-. ]IP �1: �',i I - - -�./h 11,E 4 <br /> T� \. s 1 �V �,r PROJECT CONTACT: SrAM\PLER(S):(PRINT) <br /> CITY Vf'� \&V\G� STATE nV� ci ( � <br /> ZIP <br /> TEL' E-MAIL li�'t <br /> nPn��ta h `. 03 nKL .Lo . <br /> SIS . �- • � � REQUESTED ANALYSES <br /> TURNAROUND TIME: <br /> ❑SAME DAY 024HR ❑48 HR ❑72 HR S ANDARD <br /> GLOBAL ID LOG CODE <br /> ❑ COELT EDP <br /> v <br /> Z5 ^ <br /> SPECIAL INSTRUCTIONS. � <br /> 6' d <br /> � � m <br /> n F <br /> U L N <br /> rS pO d X 'b � <br /> O O m H U o V <br /> d � � K W m � ao `o o � d H <br /> z 'O C7 O f2 N W N O ~ W <br /> N Z LL a V C L <br /> USE SAMPLE ID SAMPLING MATRIX ov a L m n a a o 'x�' 0 z c' ~ <br /> CNrY DATE TIME CONT. a ii r r m > O w <br /> 2 - 1 - 10 5 X <br /> S x <br /> U . R <br /> S Sg- - l0 3 <br /> e4 - 5 N V 1334 3 <br /> r <br /> Re quish by:(Signature) Re by' Signat /Affiliate Date Time: <br /> L 3 zvl9 /o-;&V <br /> R e y: �af ) ��/r( e i by:(Signature/Affiliation) -D�a Z l l T1RI�r <br /> O <br /> eli q ed by:(Signature) eceiv .(Signatur, late Dat : Time: <br /> W DISTRIBUTION:White with final report,Green and Yellow to Client. <br /> Pe rpu Cdvl - I$ S$ 1-w td fo 06/01/10 Revision <br /> 0 Please note that pages i and 2 of 2 of our T/Cs ere printed an the reverse side o 1fT Green d Yelow copies n>npectively.COL n�ZA--Z <br /> A 1 <br /> v <br />