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6602 Owens Drive, Suite 100 ' <br /> V` Pleasanton, CA 94588 CHAIN OF CUSTOD CORM <br /> Main Line: (925)460-5300 <br /> o T E ¢ { N Facsimile: (925)463-2559 Tumaround 4 10 day _3 day 2-8 hr <br /> Project Name: CIL( p� � Client: Time: 7 day —2 day �other <br /> Project Number: 5 - 075 Task: 500 4 (working days �5 day <br /> Cv Si ._ . .�._. . - .��_ -.a _ ..- , v .... . _ <br /> 24 r <br /> Project Address: 501 Ke-1 h4 S+.., I H M n-Ba4 I CA <br /> Laboratory: Aro p Contact: Q0c)-rgl_cIZ Analyses Requested <br /> Lab Address/Phone: Qq o R6t `r-ycxd Ave, I� m <br /> ATC Project Manager: LO r r oki ne. Sa W Y"eV- <br /> ATC PM Ph. No.: �-CoQ -x.2Z� Email:_�or r�e,5owyd aLDatc .cam <br /> ATC Sampler: -} oqi t e- MmO Phone: 925 225-' w p a <br /> C2 <br /> ,U L' o N a v f9 <br /> Sample Information Container Informationo o a0o CO. N 1-- " <br /> Matrix Field Pt.I.D.- A v a <br /> No. Type Check if same as h Q = O O U <br /> 0 <br /> ATC Sample ID Date Time sou Mrmr vapora Sample I.D. 2 LL = N j v .a � <br /> 1z.15 4 VOR 1Q w 1 <br /> a o horshew� <br /> k <br /> X <br /> M fit)- 2 © 1-155 X I,U X X <br /> W- 0 3A5 X W� X x X <br /> W- Co a• N orX x X <br />` Additional Commce,e S <br /> r� car we- <br /> EDF <br /> Format Mp <br /> Relinquished By,, V yDaterrime: a 3 D <br /> Relinquished By: Datelrime: Received By: Date/Time: L <br /> Relinquished By: Datelrime: Received By: Datelrime: <br /> Sample condition.Good? Yes— No— on lae7 Yes—NO Cooler Temp Transportation NtethW: Page of <br /> White-Lab <br />