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r <br /> N Qai ,0J CT CHEMTECH ANALYTICAL LAE,,-,.iAT0RIES (916)635.3962 CHAIN OF CUSTOD, LOG-IN <br /> PROJECT NAME LYf <br /> C7 a RESULTS VERBAL; <br /> 1 <br /> PAGE CLIENT CHAIN OF CUSTODY ff 0 ;z L% <br /> OF O ti k / �v O4 Yes ❑ No D n <br /> CHEMz <br /> TECH SAMPLE I.D. DATE TIME MATRIX c0.+ P� \� � �o y DATE BY <br /> I.D.# SWIRLED SAMPLED TO wHom: <br /> PHONE <br /> LId� Xu <br /> ZL2E Z COtdMENT5: a <br /> z rntq <br /> 2. <br /> z3c� Min I <br /> V <br /> z <br /> rL3y u O <br /> v�w.l I L <br /> X23+ <br /> yZ3l vJrC t�- <br /> c� <br /> L^e <br /> -FF <br /> c, <br /> REPORT T0: SAMPLED BY: 17 CLIENT ❑ CHEMTECH ❑OTHER <br /> C <br /> RECEIVED VIA: ❑ FED-EX ❑ U.P.S. ❑ CLIENT ❑OTHER <br /> INVOICE TO: C <br /> ZIP: � <br /> 0 <br /> ATTN: <br /> z <br /> C <br /> PHONE_ ZIP: m <br /> ATTN. o <br /> P.O. <br /> Relinquished by:is anatmel pateTme Received by:(S�naturel <br /> FIELD SERVICES ❑ NO ❑YES ❑ATTACHED FIELD REPORT G <br /> Relinquished by:is o.tLrel Datomme Received by:IsbnaNra} DISPOSAL OF SAMPLES [] NO ❑YES <br /> G <br /> L. <br /> Retro uishedb :ISQuwral <br /> NO.OF:SAMPLES UPRATE $TOTAL — <br /> q y Oat Ime Received for Labaratory by. — <br /> . <br /> 1A� 43 CLIENT:slGNATonEI: 1 <br /> hw7 <br />