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F 5831` ^ <br /> Trace Analysis Laboratory, Inc. Telephone (510) 783-6960 <br /> 3423 Investment Boulevard, N8 • Hayward, California 94545 Facsimile (510) 783-1512 <br /> CHAIN OF CUSTODY RECORD <br />' Proj.No. Project Name <br /> Analyses:/ <br />' Company Name and Address: Cd, <br /> 1125 • Wl <br /> Project Manager: gig <br /> Sample Date Time Site Location Con- <br /> ID tamers / �/ / % / / REMARKS <br /> VW.- I <br /> VW r <br /> Uw -3 <br />' 1A Jf r <br /> VY� <br /> A <br /> Sampled by: (signature) Date/Time Relln uished by: (signature) Date/Time <br /> Received by (signature) Date/Time Relinquishe by: (signature) ❑ate/Time <br /> Received for Labors ry by: (signature) T <br /> URNAROUNDTURNAROUND TIME <br /> REMARKS SaMple receipt must be ed in by l b <br /> Ice r i <br />' PPp,+ IJ111, Preserva ive: J <br /> /M3 q Beads ace:AND �{/� f 7� Container Type: <br /> �---� Total Number of Containers: G <br /> Other: $ F <br />' Founding Member of the Association of California Testing Laboratories <br />