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w � r <br /> Chain of Custody Record' O-Sita Time: <br /> roject Naine� ff-sitc Time:bp Temp: <br /> BPI ITYGEM CO PortfoUo= SIiyCaYiditian�: <br /> BP Dibuittory Contract N11ti1bor: ietcoroloi�cA E4cnt5: — <br /> Date: `� U Requested Dac Date(mnVd(Iry'y) I Find Spccd,Y Dirccdom <br /> Send To; _ Fdd <br /> 1'aci]ityA'o_• gn6ultantr'Contrector UIS _ <br /> iab Nana: g�gBpiA Faeilit Address: 1G17 W.FR"EMONT 5-r.STOCKTON,CA ddress: 2870 Gateway Onks Dr., Sto 300 <br /> Lab Address: 885 Jarvis Dr. o� ARCO 5�t50 Sacramento.CA 95$ 3 <br /> Morgan Hill,CA 05037 : - nYzil EDD: devise ee urscof)7 COITI <br /> _ a Crtobat[D 4: � 1'0607791888 a n,,uttantfCon[mcwrProjectNo.: 35-00005450.01 W427 <br /> !ah 3'M: -Latonya Pelt 1'M Contact PAUL SUPPLE Y ansuHaat TelerFax: 916-879-23871916 679�a904 <br /> elelNax: 4t}8-778-46901408.782-6308 _ P,O. Box 6549 Cansu][ent,'Contrartor Phr: VERi�I E — <br /> ts h�ara 3, CA 94570 ri�roicctu: t pns�ltan CErrrtractar BFiGi�i ka++z) <br /> tt a art �e,4c _�, — <br /> R'GENI Account,to: felelFex: �-R251-290-9091!925.289-6872 VOW Work RetewcNo. <br /> abBouleOrdcrNo: Matrix Preservatives RcquvitedAnalysls _ <br /> _ � <br /> cl �w Sample Point LAUT.cn;tad <br /> Yteu�iYo. SampteDcscriplion Tune alfnratoryNo. I � as A °° oo F,� � comments <br /> w C7 r t7 t4 N R <br /> O ' x <br /> EA' <br /> x x <br /> 4 - - <br /> .j _ <br /> 10 <br /> 'a fergL4s`. Rclin ishc f,4tYil ate nye a cd f (iilialion patert1t <br /> a <br /> Is ConapanILLr� tic lGt. 10 � <br /> mctYt Method- - - _ 6't,- <br /> gment Trzekiug No: I L <br /> '%I Stutruelfons: Adeps Invoice—to BP1C;)h:M bur ze UR far AS .�� �f=�_-�=- <br /> Seals[a Plata Yes leo * -TeinMahirc Blank Yes 1ti�Covler Tpruperatwc on Receipt _ C Tr i Blank--Yes Na✓ ~ <br /> - —� Ba coe tuY,� arso: <br /> i�t:[iat: V.iteCDpy-Lal�t;`syt YellowCOPY-Rk'GE.�S 1px�skC°PY" ansul[trs6`i:onLrac sr <br />