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[ f f [ C C C f f C f f C C C C C f f <br /> CHAIN-OF-CUSTODY RECORD <br /> Client Date LAB Project# <br /> j Analysis Requested <br /> 1. <br /> Proj Name Client ProjectP <br /> Page � of <br /> Project Address Turn Around Requested: <br /> � I �, �1 w.� '� y Lab Use Only. <br /> v Sample Condition <br /> ;Hour-Rush i5 o c <br /> m d W as rec <br /> ,. ❑ 48-Hour-Rush x 6 <br /> ❑ Normal a U Chilled Yes / o <br /> al <br /> Sam et's Signatyll J J y,� f) ❑ Mobile Lab a y o Sealed Yes I o <br /> a� am• a <br /> • • • • � . � U) z NN Z s <br /> 1IrVV- <br /> t <br /> Q Relinquished : ( t ^ Q Received by: (Signature) Date <br /> �1 �� Total Number of Containers <br /> cotny: Tim Company: Time <br /> © Relinquish : (Signature) Date pge;ivedbyLaboratory: (Signature) Date 1116 •ADV NCED ENVIRONMENTAL CONCEPTS INC- <br /> Company: Time Com ny, Time <br /> .�1 8051831.1646 4400 ASHE ROAD N206 <br /> ,23 G!tet 1100 FAX 605!831-1771 BAKERSFIELD,CA 93313 <br />