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FGLENNT1R0N*?dENTAL <br /> ANALYTICAL CHEMISTS <br /> CHAIN OF CUSTODY <br /> DATE: 4 <br /> CLIENT: 7- VCM- f, 0\�- C'o - <br /> ADDRESS: <br /> PHONE NUMBER: ,, II r <br /> PROJECT NAME: A! 6 C- � a-G �VI,C, (�Z!S 7-2-w�- a( S��v <br /> PROJECT MANAGER: V- tC� 6 CQ j I <br /> SAMPLERS: 1AA W4- Z - lSr J— <br /> jnx-'�- <br /> � �il.t�,,.. A5sac_ _ �`Ia <br /> Sz [f�5 w in4.55 �r11 <br /> QI ss�25� <br /> Sample� � � Location Date Time Number Tests Date <br /> Numbjer Description Sampled Sampled Containers Required Needed b <br /> #6M 11Z 50A <br /> sw - ! sat,dth ' z tb l 33 <br /> wi-s-T llz,3Iqo .� z5 ft"i <br /> 5tA)- L4 L/Z3/qo or <br /> 2 Iq a <br /> tl� Sqr <br /> e inc}u ' h y: Received By: D to Time <br /> Relinquished By: Received By: Date Time <br /> Relinquished By: Received By: Date Time <br /> 4 <br /> ■ �14Y.'S1}�d� `']R�t��tllii�`�+RTf■/bZ�JR�,t <br /> MAIN OFFICE— 853 CORPORATION STREET— P.O.BOX 272 BRANCH OFFICE— 2500 STAGECOACH ROAD <br /> d:LABORATORY SANTA PAULA,CALIFORNIA 93060-0272 &LABORATORY STOCKTON,CALIFORNIA 9520 <br /> (805)5253824--(805)659-0910 (209)942-0181 <br /> FAX (805)5254171 FAX (209)9424423 <br />