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001813 CT CHEiNTE <br /> CHANALVMCAL LABORATORIES 7 <br /> P�� (•16)63513962 <br /> �(� CHAIN OF CUSTODY-LQC,-1N Ya <br /> PAGE cc A <br /> OF CLiEPl7 CH 4tN 4F CUSTODY 8 a Lu <br /> CHEM ZZ , RESULTS VSRBAL: <br /> TECH SAxfpLE I. OAS <br /> I.D,x SAMPLED SAMPLED FAATAIk TE U O��y O Yes © No Q <br /> DATE s sr <br /> G7 �+Sc•¢� /I.' �t� �t't JT2 TO WHOM BYSFi <br /> �: t� PHOAiE �� n.s.a',£7i <br /> l 1-, <br /> r; <br /> ALL' <br /> y <br /> REPORT TO; <br /> SAMPLED 8Y: [ CLIENT <br /> ❑ CHENITECHt ` <br /> RECEIVED VIA: <br /> FED-EX ❑ OTHER <br /> ❑ . �a r: <br /> ❑ Cl.P.S. Q CLIENT ❑OTHERs, " <br /> ZlP: INVOICE T0: <br /> AT-TN; <br /> geGnquirhed by;lsawrp ZlP: - c�;���r <br /> Dacam" Received by: ATTN; ", <br /> ISima:wp <br /> P.O.# <br /> FIELD SERVICES <br /> RN;nqu sF,ed by;( +,ele ❑ NO <br /> ❑ YES ' <br /> DalQ ATTACHED FIELD REPORT ' <br /> DISPOSAL OF SAMPLES f" w <br /> q� ONO © YES <br /> Datell ime Receir for Labo,alwy tr NO.OF SArviPLES <br /> i Y• @AATE OTA '}'' - <br /> CLIENT(s ena4turzel: _ 7 L <br />