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Zy a CHAIN of CL,rODY <br /> 71 Zaca Lane San Luis Obispo CA 93401 tel 805.544.4696 fax 805.544.8226 <br /> report to �_� r phone fax <br /> L lx �,�I 7�1 �� -��f j �� j-�� Oy( ANALYSIS REQUESTED Turnaround Time <br /> companyf project z ` <br /> Z,ti✓!N y'^'I/'� .� 1 ��_ J J , /�.. ASAP❑48 hr❑ <br /> address1 project# <br /> 12 hr❑ 72 hr❑ <br /> 0:� AAA Od 06 <br /> sampler � r' S � c <br /> \ ysC 24 hr❑ s[d <br /> JJ 0 <br /> tt��4rigrSAMPLE DESCRIPTION Date Sampled Time Matrix Preserve # Remarks <br /> ce <br /> I <br /> Comments Relinquished by: .' �jj Received by: Fwd 1 <br /> Signature '//��'r-"' Signature J <br /> Print F-, /-:.,I , Print <br /> Company =. � � '-� Company <br /> Date y Time 3ci Date Time <br /> Sample integrity upon receipt: Bill 3rd Party: Relinquished by: Received by ZymaX envirotechnolo y inc: <br /> Samples received intact v; Signature Signature _�. .` ' <br /> Samples received cold v; Print Print <br /> Custody seals Company Company <br /> Correct container types Y PO# Date Time Date R — = C.J Time <br /> Quote yes no <br /> email.• zymax@ZymaXusa.com "` <br />