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CALSCIENCE ENVIRONMENTAL CHAIN OF CUSTODY RECORD <br /> LABORATORIES, INC. <br /> 11631 SEABOARD CIRCLE pate (D �I �9f <br /> � <br /> STANTON, CA 90680 °t <br /> Page_ <br /> TEL (714) 895-5494 a FAX (714) 8947501 — <br /> LABORATORY CLIENT CLIENT PROJECT NAME I NUMBER <br /> roee ,E t i Ella Ilys s -.S-Ptc CEr•1 t 3ro2�-a�l <br /> AaoRESS$ Q 2D L) <br /> PROJECT CONTACT /y <br /> CITY STATE ZIPS <br /> V 9Z? SAMPLERS) (SI RE) <br /> TEL l 4- , l4o — L� FAX <br /> TU DU TIME' _Jl� I!.A 14a <br /> SAME DAY( B HR}a, 125gb ❑ 24 HOURS, 10096 -148 HOURS 5046 ❑ 72 HOURSa,2596 ❑ 5 DAYS ❑ 10 PAYS ❑ RUSH WRITTEN REPORT, 1096 <br /> I All tumaround times are based on worbrig hours of 8 30 a in 5 30 p m M F 2 Prior approval is required 3 Surcharge dose not apply to Tedlar bap samples <br /> SPECIAL INSTRUCTIONSIREQUIREMENTS ❑ ROUTINE QC ❑ RWQCI3 Report Format <br /> MB MS/MSD Surrogates <br /> LCS as aWwaDle <br /> Final reports Including QC are typically relased within three days lonowing <br /> the TAT <br /> SAMPLING WATER AlR No OF <br /> SAMPLE ID LOCATIONMESCRIPTION � ANALYSES REQUIRED <br /> PATE T1elE Cm 8rs� Mp areY <br /> G 1 F Ei }aZ2 <br /> —1 FEET L 44oL. <br /> Relinquish ignatur } Received b?'A <br /> gnat ur Date Time <br /> �� r"� t�rZll <br /> Relinquished by (Signature) Revel by (Signature) Date Time <br /> r <br /> Q <br /> A <br /> Relinquished by (Signature) Received for Laboratory by (Signature) Date Time <br /> 0 <br /> a <br /> Unless otherwise requested 911 sarnoleS writ be dignoanA of'4n davg FiftAr rw^nini 7 15 t14 Roviiion <br />