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LEE 6 PIERCE inc. <br /> CHAIN OF CUSTODY/ANALYSIS REQUEST FORM <br /> LABORATORY: LAB PROJECT#: <br /> Name: Argon Labs <br /> Address: 2905 Railroad Avenue, Ceres,CA 95307 <br /> Phone: 209-581-9280 ph/209-581-9282fx _ <br /> Report to: Bill to: Project Name: Project#: <br /> Lee&Pierce,Inc. Lee&Pierce, Inc. Fremont Gate LLC E10759 Indicate Analysis Requested <br /> 546 Abbott Street,Suite 20 546 Abbott Street, Suite 20 Tele: 209-848-8270 Contact: <br /> Salinas,CA 93901 Salinas, CA 93901 Fax: 209-848-8274 John Lane <br /> a � <br /> Sample by( 'g ap lure) #of samples Date of Shipment:ent: Date results,-/ )Z;eied: P a <br /> asL 1 "'T' le <br /> + O E <br /> MATRIX SAMPLING — Z <br /> SAMPLE NO. LOCATIONIDESCRIPTION _ t� 2" <br /> d 00 R rn `m ?? E v a o J O • <br /> A S O H 'mF U N <br /> 3 rn I 0z' a = a <br /> a wh J <br /> E x 062111 1'fl`( <br /> Tube t <br /> z -1S57 EX NEW -LZ-C> <br /> S -16-7- L_`E NW\d - lz,S tato <br /> 4 -761- ESC-\."W- tie-o y�4S <br /> 6 - E74 Sw - l` D IyS`6 <br /> 6 l$.S lSlz <br /> 6 S5- L – ESW — l5,o ls1► <br /> 9 5 _ 64- KW - 15.0 1530 <br /> 9 <br /> 10 • <br /> Released by: signature) DatelTime: Received by: (signature) Date/Time: Shipped Via: Condition Noted: <br /> �cezat l (13' 1 <br /> l 8: Z <br /> Turn Around Time: 0 Standard ❑ Rush(specify): <br /> Comments/Special Instructions: <br /> Copy of report to John Lane via email at jlane@leeandpierce.com <br /> Rev 0308 C:\Documents and Settings\AII <br /> Users\DocumentsUobs\Fomn\COC_Argon.doc <br />