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0 <br /> CALSCIENCE ENVIRONMENTAL CHAIN OF CUSTODY RECORD <br /> LABORATORIES, INC. <br /> 11631 SEABOARD CIRCLE Date3- <br /> STANTON, CA 90680 <br /> TEL (714) 895-5494 a FAX (714) 8947501 Page of <br /> LABORATORY CLIENT CLIENT PROJECT NAME I NUMBER <br /> C RG C gjak Dg Sp tE G 4 Z T <br /> ADDRESS � f <br /> - o AA �� Z a PROJECT CONTACT <br /> V ` l \ <br /> CITY STATE ZIP �7; W CODY A <br /> V t C 14 92 I SAMPLER(S) (SIGN <br /> TEL <br /> 114,— 44D - 1-7o(D FAX <br /> TURNAROUND T'MEr nerl L It`.49 <br /> Q'§AME DAY(S6 HR)2, 125% LJ 24 HOURS, 100% ❑ 48 HOURS, 50% ❑ 72 HOURS3,25% ❑ 5 DAYS ❑ 10 DAYS RUSH WRITTEN REPORT, 10% <br /> 1 All turnaround times are based on worlang hours of 8 30 a m 5 30 p m M F 2 Prior approval is required 3 Surcharge dose not apply to Tedlar Dag samples <br /> SPECIAL INSTRUCTIONS/REQUIREMENTS ❑ ROUTINE QC ❑ RWQCB Report Format <br /> MB US1MSt) surrogates <br /> LCS as appbcable <br /> Final repom Induding OC are typ*cally relased within three days following <br /> qm TAT <br /> SAMPLING WATER AIR ererm RB of <br /> SAMPLE ID LOCATION/DESCRIPTION MU ANALYSES REQUIRED <br /> wit; TWE cavo' Brti1 1111111 Brall FILTER Cawts <br /> tE AS" ,fes t}L-I C ply. <br /> R nquished (Signatu Received by Pgnat re) Date Time <br /> iz-7 tjv <br /> Relinquished by(Signature) ikoceived by (Signature) Date Time <br /> x <br /> p <br /> Relinquished by (Signature) Received for Laboratory by (Signature) Datea <br /> Tima u <br /> 1!rleae Mhnn r�o rnni,n ctnA ..N a .nnln� . 11 hn r+��..��+��!fir• -e � �N� ���� � 1� nA R^ icinn <br />