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PN <br /> C a A P a p A r f a ' 33305 First Way Smyth, Federal Way, WA 98003 <br /> rNt �SSUAANC1 ar 0VALIrr ❑ CHAIN OF CUSTODY <br /> Novato, CA, 1 I Digital Drive, 94949 <br /> I <br /> Phone: 415) 883-6100_Fax: 415 883-2673 <br /> C'.,,nsullturt's Nanrc: ,` F S OV Q <br /> y Pae o f <br /> Address: ?3 [7;9t �� Yi0va3o Ca <br /> i I'rocct ConiaCl: (` <br /> �G S or Consultant Project #: 70 , o/ Phone a:! 0b QZ{n+Q$�T x #: _ <br /> Sam fled h ;trim): Sampler's Sig[atun_: <br /> Sltiprncnt MeihOd: B.F. Sile Location{!: J <br /> B.P. Sile Location: Sft>c <br /> a arc <br /> r TAT: 24 hr ❑ 48 hr ❑ 73 hr ❑ Standard (10 day) ANALYSIS REQUIRED Sample Condition as Received <br /> Temperature'C: <br /> X Cooler N: <br /> W � <br /> F- b , Inbound Seal Yes No <br /> t/} vt N U1 <br /> Outbound Scal Yes No <br /> Sairtl,le I3cscrinrion Cnlltrri ,u Alahix Prsv H ,I' FACE_ < A C7 <br /> D;ueJI'inte tinilllvitcr Cors[ sample A Q _ ¢ Cl o <br /> 5 COMMENTS <br /> F- m !— ts! O us oG'o <br /> ,Z c' <br /> JL u 52 S AX,,�.. a. X <br /> S IL/0-A-D IZIIO19L- <br /> Relinquished by/Altiliatirns Dale Time Accepted by/Al7ilialion Dale Time Additional Comments: <br /> v r'a /2 /s/7z a <br />