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2000020221 <br />CHAIN -OF -CUSTODY RECOR ECMS <br />Environmental Compliant <br />Pre -Login IDfl: 27009 <br />P.O. Box 622228, Orangevale, Califomia 95662 <br />TEL (916) 988-0867 FAX (916) 988-2139 <br />02/07/2000 <br />TAT: Standard <br />Laboratory: BSK Laboratories <br />Address: 1414 Stanislaus Street, Fresno CA 93706 TEL (209 4 - 888 FAX (209) 485-6935 <br />Contact: Monica Van Natta Sly �!� Z�3 <br />Project: ECM Service ISMP Sample Set First Se <br />Sample Facility: �d I.D. Num er: IMP <br />Sampler Signature: Sampler Title: <br />ANALYSIS REQUEST <br />TAT <br />METHOD <br />MATRIX <br />Z <br />SAMPLING <br />CONTAINER ER <br />PRESERVED <br />0 <br />INFORMATION <br />TYP_ <br />Q <br />J <br />U <br />w <br />in <br />h- <br />W <br />F <br />Q <br />�9 <br />j <br />O <br />CO <br />O v SAMPLER <br />2 COMMENTS <br />dp <br />L <br />_ <br />_ <br />V <br />o� e�v� H AND <br />Q <br />DATE <br />TIME <br />" <br />.y <br />8 <br />w <br />v <br />p� <br />Z a a OBSERVATIONS <br />(q <br />w <br />N <br />a <br />? X ' <br />- DO <br />s M <br />1( <br />-ov <br />:3S M <br />X <br />X <br />X <br />B <br />3 -� <br />ss ,� <br />.y <br />x <br />x <br />X <br />c <br />35 tom <br />I X <br />X <br />X <br />D <br />-3-0� <br />: 3 S M <br />b <br />x <br />x <br />X <br />X <br />Relinquished By: <br />a1 Time <br />Received By: Remarks: xiv/) Z ~ <br />2eeh 4144m <br />)13/00 1: <br />E kif w;,l- <br />Relinquished By: <br />Date Time <br />Received By: <br />Bill To: <br />ECM Services <br />Received By' <br />Relinquished By: <br />Qat. Time <br />'�-I-_1 ICO I `1 CO <br />