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AV P <br /> Since 1878 �5 SHEET 1 OF 1 <br /> Curtis & Tompkins, Ltd. General Anawical Laborones <br /> cb 2495 Da Vinci,Irvine,CA 92714 Phone (714)252 9700 Fax(7, 252 970, C HAS N—O F—C U TD DY RECORD <br /> � m t��' <br /> Sample � � z' c `��yo° 2° �~� Ocrya4 '�° <br /> Sample ID Depth Date Time Type � ~ a v v� .��� ,��°� �h�..h'���� ,��� �� e� ' c,� ~ S .t`� <br /> o �° �0 0o A 1~ 4 co`�' ro`1' Q' •� 'V Field Notes <br /> E- O <br /> S 1 F S i io�21 v94t7 $o t� QanS SAM PLE �� <br /> r�r `E7 <br /> I r' - 7 tom,. <br /> ' <br /> i <br /> By (SignaBira) Date/time Recel"d By (Signature) DateIme LABORATORY NOTES DATE DATA NEEDED BY <br /> I S-)n <br /> Relinquished By-(Signature) DataRme Recerved By (Signature) DateMme All samples vnU be disposed or 30 days after invoice <br /> unless specified on chain of custody write"archive <br /> Relinquished By-(Signatwe) Datettime Received By (Signature) DateMme/k p for days'by any sample to be archived <br /> $5!sample/month will be charged <br /> SEND ANALYTICAL.REPORT TO STEtl1' �UY�!'l� - CLIENT JOB 1 D <br /> COMPANY Ml-- 7" I IJ ( <br /> ADDRESS l Z$�Z 5 N VM A Z(,'O WENT P O NO C&T QUOTE NO / <br /> CITY �Q J i STATE r. ZIP COQE !Z 7 f't SAMPLING LOCATION C I A(--T <br /> PHONE NUMBER 7I4'440 `7760 FAX NUMBER 2 4 73 o 737 <br /> PROJECT MANAGER ZrE�/� c'r�D'lAf'17 COLLECTOR , f Li/E 0UDya la - <br />