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CALSCIENCE ENVIRONMENTAL CHAIN OF CUSTODY RECORD <br /> LABORATORIES, INC. Date <br /> 11631 SEABOARD CIRCLE <br /> STANTON, CA 90680 I of I <br /> TEL (714)895-5494 • FAX (714) 8947501 Page <br /> LABORATORY CLIENT CLIENT PROJECT NAME I NUMBER <br /> ADDRESS C ek-j i R ts91 Nl I ►J C <br /> M , o fJ kAAAAAJ -YrZQQ PROJECT CONTACT <br /> CITY STATE ZIP -r <br /> � G� �Z71 SAM S) [Sld RE] <br /> TEL FAX <br /> TUR ND TIME' <br /> SAME DAY(56 HR)=, 125% ❑ 24 HOURS, 100% ❑ 48 HOURS 50% ❑ 72 HOURS325% ❑ 5 DAYS ❑ 10 DAYS ❑ F fWRIATEN REPORT, 10% <br /> 1 All tumaround times are based an worlang hours of 8 30 a m -5 30 p m M F 2 Pnor approval is required 3 5urctwga dose not apply to Tedlar bag samples <br /> SPECIAL INSTRUCTIONSIREOUIREMENTS ❑ ROUTINE OC ❑ RWOC8 Report Format <br /> Ma MSIMSD Surrogates <br /> LCS as appiwAble <br /> Final reports Including OC are typically retased within three days following <br /> the TAT <br /> SAMPLING WATER AIR $01101 NO OF <br /> SAMPLE ID LOCATION/DESCRIPTION WIL! ANALYSES REQUIREO <br /> DACE TIDE Onp. <br /> RLTM Cast. <br /> se is L� 2v F r- ►°�z1P 12Za DIS M A 5 N YD FLo i <br /> Relinquished (Signet re) Received bby lg urs) Date Time <br /> f to - 7� -9 G <br /> Rell $gnat ) oc by (Signature) Date Time <br /> L <br /> a <br /> Relinquished by (Signature) Received for Laboratory by (Signature) Date Time <br /> 11ntPee M11PMntA•PnItPS7P/� nH e�mnl�e .dl kn rra....��� �}an.�� �N� •,-�� 7 t r n1 n,,, ,�n <br />