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CALSCIENCE ENVIRONMENTAL CHAIN OF CUSTODY RECORD <br /> LABORATORIES, INC. <br /> 11531 SEABOARD CIRCLE Date "� <br /> STANTON, CA 90580 <br /> TEL (714) 895-5494 • FAX (714) 894-7501 Page of <br /> LABORATORY CLIENT CLIENT PROJECT NAME 1 NUMBER <br /> G Rt <br /> FNJ rK M T' SNC <br /> ADDRESS E lz t 5 ,SPEc-ti,a t---r C E" <br /> `T'+—k 3e.,2fl - C>r)I- <br /> 5- rJ <br /> V` o I t"+4 Je PA AZ� PROJECT CONTACT <br /> CITY f STATE ZIP � �Jt� 0ap�YA <br /> T v l a C 9Z"1 I SAMPLER(S) (SIa ATURE) <br /> TEL 1Q —"] 'l i] FA){ ' /_ <br /> TURNAROUND TIME1 <br /> O-'sAME DAY(56 HR)a, 125% ❑ 24 HOURS, 100% ❑ 48 HOURS, 50% ❑ 72 HOURS1,25% ❑ 5 DAYS ❑ 10 DA ❑ RUSH WRITTEN REPORT, 10% <br /> I All tumaround 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 bag samples <br /> SPECIAL INSTRUCTIONS/REQUIREMENTS ❑ ROUTINE OC ❑ RWQCB Report Format <br /> Ma MSJMSA Surrogates <br /> LCS as applicable <br /> Final reports including OC are typically related wilhin three days fallowing <br /> the TAT <br /> SAMPLING WATER AIR touW 00 OF <br /> SAMPLE: ID LOCATION/DESCRIPTION sw ANALYSES REQUIRED <br /> DATE tut[ U410ttr>r W tilts <br /> CoMrs <br /> 5-aLt A I D! As HYD B <br /> Relinquished (Slgnatur ) Received bynature) Date Time s <br /> Relinquished by- (Signature) Recetved 15y (Signature) Date Time <br /> U <br /> L <br /> d <br /> Relinquished by (Signature) Received for Laboratory by (Signature) Date Time <br /> I1nleRs rrlhArvvieA ranuAR}Att All RRMNFIR VIII INA AlaMcoA nr'!f1 Aaya Pftnr.n",M <br />