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LEE & PIERCE inc. 3 °f 3 <br /> CHAIN OF CUSTODY/ANALYSIS REQUEST FORM <br /> LABORATORY: LAB PROJECT#: <br /> Name: Argon Labs <br /> Address: Railroad Ave, Ceres, CA <br /> Phone: 209-581-9280 <br /> Report to: Bill to: Project Name: Project#: <br /> Lee & Pierce Inc. Lee& Pierce Inc. Fremont Gate LLC EN 10759 Indicate Analysis Requested <br /> 135 S. Fifth Ave., Suite C 546 Abbott St., Ste. 20 Tele: 209-848-8270 Contact: <br /> Oakdale, CA 95361 Salinas, CA 93901 zc o <br /> Fax: 209-848-8274 John Lane U <br /> Sampled b (signature) #of samples Date of Shipment: Date results needed: E <br /> °� ��o Sz' <br /> MATRIX SAMPLING <br /> SAMPLE NO. LOCATIONIDESCRIPTION y Q o y y y .� i 7 <br /> r m E_ i. <br /> 3 y of mm 1 n° <br /> 0. J <br /> 1 t Q uz134 151 N. uJ' . I- x <br /> 2 191-LPBS(-30 tl3 ] X <br /> 3 —+a�r3�-3y, I. <br /> 5 q-t-FRI-GO u?e,I Csw .+caf c�u't ti X OYD7 �Wlu lit 3 <br /> 6 7S`I-(X53-mow tAp53 tow (5' w of C1.1 01-557 <br /> tP3�{�W U°3z Caw (51 N of & (UZ(oX <br /> 8 51-LM-&vJ l51 9 Uf clr' f+t 1300 �C <br /> 9 <br /> i <br /> 0 <br /> Released b (signature) Print Name Com an Date Time Notes/Condition <br /> 10 Zq to O �2 <br /> >T-2-( <br /> Turn Around Time: Q Standard ❑ Rush (specify): 24-hour <br /> Comments/Special Instructions: <br /> Email to jlane@leeandpierce.com <br /> Rev 0 1105 C:1Documents end Settingswi Users\DocumentsUobsToms\COC_LP.doc <br />