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GLENN'I R(Vftve N1 EN'FA.,-kL *.mow <br /> AN.1.LYTII:AL GHEtiiISTS <br /> O <br /> ruATpl OF CUSTODY <br /> p JAN 10 1988 <br /> ENVIRONMIENTAL HEALTH <br /> C Lis E`i T: U�j"Iph <br /> (� •(��n. GZ L, PERMIT/SERVICES <br /> ADDRESS: 6a x 5 8 B 51+D 141 644. gSZo ( . <br /> PrONE 'iLMSER: <br /> "I.LOIE . <br /> PROjEECT MANAGER: i6l <br /> SAMPLERS: m'^T <br /> i. <br /> 0 <br /> Sample Location Date Time Number of Tests Date <br /> Plumber Description Sampled Sampled Containers Required Needed b <br /> 2 i Ivo r t h i.iwr <br /> 3� _ 718 9 11 <br /> (-L14e rAL4Z(s�1tPACs) PCS <br /> I <br /> I <br /> I I <br /> Re quished 3y: Receiv By: Date Tire` <br /> in <br /> Relinquished By: Received By: Date Time <br /> Relinquished By: Received is Jr: Date Time <br /> zZ <br /> L4 pXA/*A <br /> MAIN OFTICE- &r%3 covoFA: N STREET- P.O.BOX 272 BRANCH OFFICE- 2500 STAGECOACH ROAD <br /> &LABORATORY SAMA PAULA,CALIFORNIA 9'3M)4= &LABORATORY Si'OCKTON,CALIFORNIA 95205 <br /> (805)525-3824_(H05)639-0910 (209)9424181 <br /> A305)554172 BAX MOM 04*10" q� <br />