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CALSCiENCE ENVIRONMENTAL a �y r /o pp�� CHAIN OF CUSTODY RECORD <br /> LABORATORIES, INC. Date !� ' (3 <br /> 11631 SEABOARD CIRCLE <br /> STANTON, CA 90680 <br /> TEL (714) 895-5494 is FAX (714) 894-7501 Page L of ! <br /> LABORATORY CLIENT CLIENT PROJECT NAME 1 NUMBER <br /> CRC �J fer <br /> ADDRESS / ES S ' a4 L-r <br /> \4 A �r PROJECT CONTACT <br /> CITY STATE ZIP Df71 <br /> R�I1 CA- SAMPLER( ) (SIGNATU ) <br /> TEL d 44y — —7a <br /> TURNAR ND TIME, <br /> SAME DAY(56 HR)z 100% ❑ 24 HOURS 50% ❑ 48 HOURS 250% ❑ 5 DAYS3 ❑ 10 DAYS ❑ RUSH WRITTEN REPORT 10% <br /> 1 All tumaround times are based on working hours of B a m 5 p m M F 2 Prior confirmation is strongly recommended 3 3 days for Tedlar bag air samples <br /> SPECIAL INSTRUCTIONS/REQUIREMENTS WRITTEN QC REPORT REQUIRED? <br /> ❑ ROUTINE QC ❑ RWQCB OC <br /> spice Spka DuphCAta Raauns NORMAL QC Plus VAthod blanks <br /> %REC %RPD RNu"s and Laboratory Coard Slaodwds <br /> gPd <br /> Aalad Ganlral Limns Eeradlon Lope <br /> SAMPLING WATER AIR SOLIDI No of <br /> SAMPLE 10 LOCATIONIDESCRIPTION SOIU ANALYSES REQUIRED <br /> DATE TIME Comp Grab Ifftp Grtb FILTER Conlnra <br /> ,11c) Fie� 11263A4, o S <br /> 532C. 1 D F e__fi 16S7 I <br /> Sa <br /> l F -Zv O <br /> S$ 3B i0 Fzc-r- <br /> Ss RD 1S F6E I �a s t ►� 1 , . , <br /> R nat re) Reced by (Sign u ) Date Time <br /> �,�� l A� aiIo1�3�9 1319 <br /> Reit by ignatu ) Recely by (Sig r Date `` Time <br /> 'D A Y <br /> Re inqut by (StgnatuRec I Laboratory ( t Date Time <br /> / a <br />