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Since 1878 AS f1yD�'<1i1�—�C- ' <br /> SHEET OF <br /> Curtis & Tompkins, Ltd. General Analytical labor odescb CHAIN-4F-CUSTODY RECORD <br /> 2495 Da Vinci Irvine,CA 92714 Phone (714)252-9700 Fax(714 52 9701 <br /> `m <br /> A <br /> E c <br /> Sample T Z kv ,moo �o �1r1 Oc�¢� 10 ,y ��'� Cam �� LAB# <br /> Sample ID Depth Date Time Type <br /> 00 �O A, a1 t~� QG fo`b rory �� Q� S �G ti� Field Notes <br /> S 2 « , } <br /> 8 E t9'l." 1.3 5 i t}Tc:ti , P, <br /> t o -`! 1 I l l 1 l f1 M E TE. <br />(• � 1S, l Its/� 1.1� 11 ,1 <br /> II T <br /> r,?'j, " zASS II <br /> f 14 A $ -7 <br /> Relinquished By-(Sign uray DaWriime Received By (Signature) Daterrime LABORATORY NOTES DATE DATA NEEDED BY <br /> L !1 0'q,4 ,5-, <br /> Sr <br /> Relinquished By,{ Date/r'une Repenred By (Signature) DatelTime All samples vnll be disposed of 30 days after Invoice <br /> -� unless specified on chain of custody write archive <br /> Reltnqufshed By(Signature) Date/Time R_ �(Sn � Date(rm for days'by any sample to be archived <br /> C\ o <br /> ` k-% 1 4b 41 $51 sample 1 month will be charged <br /> SEND ANALYTICAL REPORT TO -`)D CLIEN-OJOB 1 D <br /> COMPANY 0, C F—,Jj c' ' <br /> ADDRESS f dCLIENT P O NO C&T QUOTE NO <br /> CITY IR rJE _STATE yA__ZIP CODE `22-7 SAMPLING LOCATION A T <br /> , <br /> PHONE NUMBER -114 44 �-7 t 4D FAX NUMBER 2U9-.473-0 739 <br /> PRO IF('T MANAGFR �Tr ! 1� ,Y 'i1 fit^ S11a COLLECTOR __ 0l� ��I J <br />