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Send Invoice To: <br /> r,G2 of 2 t10 /d /30 — <br /> CHAIN OF CUSTODY RECORD _ <br /> Send Lab. Results To: LSCE address below <br /> ciiRtt ^'"" LSCE Project No. <br /> SMS (3RINE125 AnNV16r req�rr.d <br /> Project n..m <br /> `jA ,r,P.l.i.VG -Dec y0 Y� <br /> Noiect m A <br /> 7'o�r SGHi- MHN/N/ 54rrtp16rlrl ��HKY U�U EST `.1�?A. <br /> • J <br /> Type <br /> S4 Pie Time c,,.rir note S4mpl4 dmfgtt, Numbw J' 'b'� <br /> nurnMrof <br /> tarrrpbd Ix 16nn (Location Details) <br /> Mat con16in4r4 z / / 14;y R4m4rt4 <br /> /3:,J 0 6&A8 /Z-*V0 SMS BLIN 45 Mw-3A <br /> 14 zo <br /> itZI <br /> ,3 /L 3o n „ MW- I -A Ik <br /> 9 /L 3L Mw_ 146 <br /> �,- <br /> Sample Container Description <br /> I. Polyethylene, no preservatives 14. Polyethylene - sterlle <br /> 2. Polyethylene, prsacldifled 5. 40 ml Glass Vial, duplicate <br /> 8. 'Glass, screw cap E, <br /> Sryn4tur4 Comv 0416 T.n. <br /> RNuquirfMtd by 12-/'i-YU 17016 <br /> R,w,,Kvd try <br /> RNirrqurrhed bV <br /> Rr wed bV <br /> Relrng,rrbed bV <br /> R.r d bV / /i 7� 417 <br /> 1 ` J <br /> Luhdorff and Scalmaninl, Consulting Engineere <br /> �a 500 First Street, Woodland, Ca. eeeen <br />