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North State Environmental Analytical Laboratory <br /> Chain of Custody/Request for Analysis p <br /> 6`goY (415) 588-9652 <br /> Client:5,,1:9C U Phone: <br /> PReportto: <br /> Turnaround Time <br /> ��f dQr� <br /> Mailing Address: /�/', SoL(fA Z1'A _5J,,_rr l`�f ng to; rT �n�, <br /> /`?ocPco� C,� 8 H 24 Hr <br /> 1-7S-1 L es lie S,* <br /> � ata C <br /> Site Address: � o// .�� � 46 Hr 5 Da <br /> /I`y?r' e^A PON / Billing Reference: <br /> Sampler: Date•Mik_ 7t� <br /> G! - X- Y �/ T Other <br /> 7 i• <br /> Sample ID: Sample Description Container Sampli <br /> / type Time/ TPH-G BTEX O+C ��� <br /> IM Remarks <br /> � <br /> Asx o <br /> era, nal s� <br /> AA <br /> Relinquished by: Date: Time:Z r+8 <br /> Received by: <br /> Yes No i <br /> Relinquished by: Date: Time' y Re ivby <br /> by' - Were samples <br /> Preserved ? <br /> Relinquished by: Dat <br /> � ftML11V&rTffTA by: � In good <br /> rmnclitirin N? <br />