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'ISS ASSOCIATES <br /> 1939 McClure 51. Daklar:d,G5 94609 415.465.1100 <br /> Page �! of <br /> SEND RESULTS T0: ki!1:1: �Q1f7 <br /> CHAIN-CF-CUSTODT RECORD AHD ANALYTIC IXS'iAICT1ONS <br /> Shuttle Inventory Hurrbrr. <br /> WA Feraorr.el; Re sure to include copy of this form in the field aapling fates <br /> !i _ <br /> Proj -�Lso <br /> Shipping Seat No. ect ID: - <br /> HOTE�S 10 IAI <br /> 1) Spreify enalytie method and detection limit <br /> in report. <br /> Sa^pted by: Laboratory NW*. `p 2) Notify us if there are e <br /> ny an CC or other scans. anara'ous peaks <br /> Ho. of <br /> Con- Satrple/ 3) NY QUESTIONS/CLARIFICAT1045: CALL Us. <br /> SarrptIng Contgfner Anel e <br /> tefners Sarp(e ID Turn- <br /> Date }�^ � <br /> .� T� Hold eroundC Arutyze For: Analyti;. Method/ <br /> �� � � � Detection Limit Co-M. nts <br /> —� <br /> ------------- <br /> ------------- <br /> I - ,, , C_'_ <br /> 4 . <br /> Arleasrd b� a ur ) Cate <br /> Rates ed Iyy i aturU, Da e, Ralees by ignature), Date <br /> z a <br /> Received by (Signature), Date Shipping Carrier, Method, Date 6 ece vedn <br /> by Letr Perso c[, Date, r one x <br /> Seat infect?, xu�er <br /> A Semple Type Codes: V• (tater, i Soil, 0 c Other (Specify) Container T <br /> a analyte/Hold: A •Analyze; HOLD (aprlt out) ■ DO NUT ANALYZE UNLESS NECESSAR7codesEDUEST£Dlastic betties, C ■ Glass bottte T <br /> C N Harmol Turnaround, F 7-Week Turnaround, R 0 24-hour Turnaround ' Brass tuba, a ■ Other (Specifly) <br /> r <br />