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Precision Laboratories CHAIN OF C JSTODY RECORD <br /> PROJECT NAME: {( <br /> Y 1 5 �GL1� COLLEC ORS NAME/SIGNATURE: Analyses Required JOB#-7 <br /> LOCATION: L-UG , 1 (0 <br /> REPORT TO: NAME: ��1 As Received Sample Info: NOTES: <br /> COMPANY: TE — Q C Temp: (v <br /> ADDRESS: — — VIT-be o Plastic <br /> CITY, STATE, ZIP o Glass o Sealed <br /> PHONE: ( )SC �� FAX: (�U ,) SS� - iS?� o VOA o Others 1L] <br /> SPL Date Time Comp/ SOIL/ Sample lndentification SIZE # <br /> NO. Sampled Sampled or Grab Water CTNRS REMARKS LAB ID <br /> P • <br /> C X IZlO/Z <br /> - 1 al - aI � S � lZG�3 <br /> 3 e , /& -/ ' '5 ' �2(vl/o <br /> - 3 ai-0/-S- lZl <br /> P -cl 5 - 9 <br /> -S e- Is- - 3 ' ` V <br /> SIGNATURE COMPANY: DATE: TIME: SHIPPED VIA: <br /> RELINQUISHED BY: - CA9 S inco 7 UPS: <br /> RECEIVED BY: FED EX: <br /> RELINQUISHED BY: HAND DELIVERED: <br /> RECEIVED BY: COURIER: <br /> RELINQUISHED BY: OTHER: LJY�A-t 1�D� <br /> RECEIVED BY: <br /> WHITE - FILE, YELLOW - LAB, PINK CLIENT <br /> 645 North Main St., Orange, California 92668-1104 Tel. No.: (801 LAB-4599 Fax No.: (714) 744-0357 <br />