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�ALSCIENCE ENVIRONMENTAL • F CHAIN <br /> LABORATORIES, INC. 0 CUSTODY CORD <br /> 7440 LINCOLN WAY Date_ 0/,?,0/ <br /> GARDEN GROVE, CA 92840.1432 <br /> TEL: (714)895,51484 + FAX: (714)894.7501 Incident No Page rl 1 <br /> _ of <br /> LABORATORY CLIENT Kiff Analytical,LLC CLIENT PROJECT NAME 1 NUMBER PA lie-e aC IVrJ <br /> ADDRESSS�i 5 C OU&M Y C Li U t3 EL L•0 5M ucTza�J v�2 fl/3 <br /> 7x0 Olive Drive Suite D PROJECT CONTACT urg nY <br /> GTY Davis STATE CA Zip 95616TEL <br /> SAMPLER(S) (SIGNATURE) 000LIDt REAEIPT <br /> 530-297-4800 S3a297-4903 E TEW <br /> TURNAROUND TIME REQUESTED ANALYSES <br /> ❑ SAME DAY 1124 HR ❑ n HR ❑ 5 DAYS 1:110 DAYS <br /> SPECIAL REQUIREMENTS(ADDITIONAL COSTS MAY APPLY) <br /> ❑RWQCB REPORTING ❑ ARCHIVE SAMPLES UNTIL <br /> SPECIAL Rs-r—w C5ON8 <br /> W <br /> LCD <br /> OU3 <br /> r <br /> Ca i S 4 0 <br /> LC7 <br /> m O m fQr Cp C� Q ^ g Eytl <br /> z Q <br /> C2 t7-L r_f t7 C2 <br /> 4ftSAMPLE ID LOCATIOWDESMUPTION SAitPLN�Gt +�a x x c a c -K tj <br /> 96 U <br /> MITI Taut osrr m > m C14 <br /> 011-101 3.00 KW <br /> r <br /> Reunquished br nature) Reaelmml by (Signature) Date nme. <br /> d�e <br /> Relinquished .(Signature) Received blr(Signature) Date Time <br /> -70 <br /> Refinquished try(Swatum) Re*vod for Laboratory bar(Signatu Date Time <br /> 4 <br /> DSTRIBUTION.Whb with Mal report,Green to Fite,Yellow and Pink to Cuero 10101/00 Revision <br /> Plane note that papas t snd 2 of 2 of our T1Cs ate prkAed on the reverse skis of the YeRow and Pink copies mspewfv*, <br />