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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 , Dated <br /> LAB Project# <br /> Analysis Requested <br /> r <br /> Project Name Clie t Projecf# <br /> • Page of <br /> Proj Address <br /> L Turn Around Requested: VQ „J �, V. <br /> Lab Use Only. <br /> L i i'? _ ?+ d Sample Condition <br /> ❑ 24-Hour-Rush N 0 <br /> -48-Hour-Rush x 6 � c as receiv,d <br /> es : <br /> L) Normal :a a Chilled No <br /> Mobile Lab <br /> Sam I s Signatur }� ❑ o N l o Sealed es / No <br /> { <br /> XI E <br /> Sam <br /> • • to z V1 to z <br /> I A <br /> VV <br /> Q Relinquis ed by: (Si a Date Q Received by: (Signature) Date <br /> �{i �7 , •: 1' Total Number of Containers <br /> Company: �� Ti Company: <br /> V <br /> AIrl. <br /> © Reiin uished Si nature Date Q Received b Laborat Si nature Dat IV <br /> q by ( 9 I Y gory: ( 9 ) o!�? <br /> -ADVANCED ENVIRONMENTAL CONCEPTS INC- <br /> Company: Time Com _ Time <br /> AS�Z1 I— 1 V 3 &) FAX 80 1831- AKERSFIE4400 ROAD 3206 <br /> G 7 t� FAX 605/831-1 T71 BAKEASFfELD,CA 93313 <br />