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CALSCIENCE ENVIRONMENTAL CHAIN OF CUSTODY RECORD <br /> LABORATORIES, INC. 24- <br /> 11631 SEABOARD CIRCLE Date iD - 2Z <br /> STANTON, CA 90680 of <br /> TEL (714) 895-5494 a FAX (714) 8947501 Page <br /> LABORATORY CLIENT ; CLIENT PROJECT NAME l NUMBER <br /> ner� Iry J IC L S -T- 1 iJ C I G SPEC L- C N <br /> ADDRESS <br /> 1-713-7S `/, /p A J Z a PROJECT CONTACT <br /> CITY STATE ZIP <br /> QJt C 92`1 i SAM�(3NA <br /> TEL FAX <br /> I - 440 — -1-7 f7 C) <br /> T[3rSA E DTI (: �OO 1� �j <br /> SAME DAY (5f3 HR 125% LJ 24 HOURS, 100% ❑ 48 HOURS, 504t ❑ 72 HOt1R53,25% ❑ 5 DAYS ❑ 10 DAYS ❑ R H WRITTEN REPORT, 10% <br /> 1 AO turnaround times are based on working hours of 8 30 a m S 30 p m M f 2 Prior approval is required 3 Surcharge dose not apply to Tedlar bag samples <br /> SPECIAL INSTRUCTIONSIREQUIREMENTS ❑ ROUTINE OC ❑ RWQCB Report Format <br /> Me MSIMSD Surrogates <br /> LCS as appll--Ole <br /> Final reports including OC ars typically ralased within three days toilowing <br /> the TAT <br /> SAMPLING WATER AIR Batu NO of <br /> SAMPLE ID LOCATION/DESCRIPTION DATE riLTM cna>; ANALYSES REQUIRED <br /> Tim t� ens Mq- atrr <br /> l Fa;�7� 10!/I-22- 0952- Bol la)A F-ttai <br /> 1. <br /> 11 <br /> SQ el �-r <br /> L <br /> SQ S F c� i craE ,4122 t 1.1 r� i BDI A4 D Ft v i <br /> Relinquish (Signature) <br /> Received by gnaturp) Date Time <br /> �S(��. L �a <br /> Relinquished by ignature) Received by (Signature) Date Time <br /> L <br /> R <br /> Relinquished by (Signature) Received for Laboratory by (Signature) Date Trine a <br /> a <br /> a <br /> We"otherwise renuesterl all ssrrinles will he rilenncrrrt of art rir+vR aRnr rpr o,nr 7 1 F q4 RPvisinn - - <br />