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r r r r r r r r r r r r r r r r r r r <br /> CHAIN-OF-CUSTODY RECORD <br /> Client Date �?, LAB Project# <br /> Analysis Requested <br /> Project Name C— C—,- Clie t Project# Page of <br /> &e 4 <br /> Project Address <br /> COL/ 5/- {) Turn Around Requested: vQ n lab Use Only. <br /> u✓ 4 ����� Jr - 0 Sample Condition <br /> ❑ 24-Hour-Rush 0 p c <br /> � <br /> CO 0 L r as received:�� ` ❑ <br /> 48-Hour-Rush o <br /> „ Normal a ,� U Chillec(% ! No <br /> Sampler's Slgnatur ❑ Mobile Lab o 2-Ji o Sealed YA / No <br /> 03 <br /> • � 0z in u) z <br /> ti14 ) .y ✓ �tl� L <br /> ll Cr A <br /> l y J5-E, <br /> le <br /> J <br /> Q ellnquished 4( 1Tgn7ak <br /> D Q Received by: (Signature) Date <br /> - l � Total Number of Containers <br /> �• <br /> Corr ny: / trAe Company: Time IM <br /> PT <br /> Q Relinquished by: (Signature) Date Q Received by Laboratory: (Signature) Date ■E <br /> -ADVANCED ENVIRONMENTAL CONCEPTS INC• <br /> z <br /> Company: Time Company: Time 805/831-1646 4400ASHEROAD #206 <br /> FAX 805/831-1771 BAKERSFIELD,CA93313 <br />