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6 <br /> N <br /> N° Ox 391CT <br /> CHEIATECH ANALYTICAL L/ ,'RATORI€5 <br /> PA (976}b35-396 <br /> '` CHAIN CF GUSTO: �LOG-IN <br /> GJ�CT NAME � � ��uG <br /> 3ANALY ! f <br /> RESULTS VERBAL: <br /> PAGE CLtEC CHAIN OF CUSTODY# p E ?~ a <br /> OF_� a / �� <br /> z Z C" �y Yes ❑ N_ r^ , <br /> TECHCHEPA SAMPLE I.D. .t" I <br /> TECH DATE i(h1E MATRIX U ¢O o DATE I <br /> snnaalFD s.nMat.ED r � k, c, � 6Y 1 *� , <br /> PHONE�� <br /> # COMMENTS: � -•. i <br /> lbw- 5/zy/�, �•sa � <br /> i <br /> 1-leer— s/�eE/ s3p r ',�sB <br /> !:3r <br /> 374 P <br /> REPORT TO: SAMPLED BY: ❑ CLIENT ❑CHEMTECH <br /> ❑ OTHER <br /> RECEIVED VIA: ❑ FED-EX ❑U.P.S. ❑ CLIENT ❑OTHER <br /> II ZIP: INVOICE TO: <br /> ATTN: <br /> PHONE <br /> ZIP: <br /> Re:,nqu"hod by:tsv�nae( ATTN• P.O.# <br /> Daterime Received by:(sgnanne! <br /> 14f/lb 2•`�' � .�----� FIELD SERVICES � 1 <br /> ❑ NO ❑ YES 11 ATTACHED FIELD REPORT <br /> R61111 hed by;l5gwtuel D <br /> DISPOSAL OF SAMPLES ❑ NO © YES <br /> i <br /> Relinquished by:tkrntue! Date/Time Recd4 ed for boraby NO.OF SAMPLES @RATP. I <br /> J {sg, t Y 5 TOTAL <br /> i CLIENT(Sr-NATURE): <br /> i <br /> i <br /> .,a <br />