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,r <br /> r <br /> Since 1878AS <br /> Curtis & Tompkins, Ltd. General Analytical Labora ries SHEET I of <br /> cb 2495 Da Vinci, Iron,CA 92714 Phone (714)252 9700 Fax(714)152-9701 CHAIN—OF-CUSTODY R E C O R D <br /> Sample "—Tia z �° rt° �` �°, Oc s° ^° ,yso ��` �a ` `� LAB# ' <br /> Sample ID Depth Date me Type a ° <br /> rl <br /> Y <br /> I <br /> RolinquMoBir S018ttue) Data/Time Received By-(Signature) DateRme LABORATORY NOTES DATE DATA NEEDED BY <br /> 6Q :LA <br /> ennquis6ed By(Signature) Date/Time Received By (Signature) Date/Time <br /> 1 Wl samples Holl be disposed of 30 days after invoice <br /> x unless specified on chain of custody-write'archrve <br /> Relinquished By(5ignah") Date/fane Received By ( nature) Date ime for days'by any sample to be archived <br /> i <br /> n C l $5/sample I month will be charged <br /> SEND ANALYTICAL REPORT TO CLIENT JOB I D <br /> COMPANY P� J + T I <br /> ADDRESS I'l_el S 11, r-� M 4 0 'i t� CLIENT P O NO C&T QUOTE NO <br /> CITY 1-12 STATE ► ZIP CODE -)2-11 SAMPLING LOCATION _Ll 't5 �1� i ill L-) GZrrrJ� ,- <br /> PHONE NUMBER -iil- d 4 i -1-7Q-7) FAX NUMBER `I14 4-1t t 7 1( <br /> PRf1 I��T F�nrr4rFp �'TT /ter I- T � / ! Cou ECTOR �i�,k l�r k)-'IA <br />