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+\ t'v <br /> unS ar <br /> AIR LABORATORY <br /> Laboratories, Inc. <br /> Chain of Custody Record rDrxc QUAEPFYANALYY�ICAIsERyfoES NATtONwmE <br /> 12 Commercentre Dr e Lal2e,Forest, CA 92630 <br /> ((�� 49-297-5020 `;. <br /> Client: Phf--wm- Ess Date: l7eC- \, Zo14 Page t"•` Of 1 <br /> Address: FRRMirJtrCot�1 N A Project Nanrl 'tA IT C L4A4F.Q,s \ <br /> Phone;50$•RSL-Lt.4 o Fax: foto_ (sS.}ZS0 Collector:M. E I),.1 AQ6 -- Client Protect#. �" i -71 v151`}- 2 <br /> Project Manager_�erA CgMpBEL Batch#: T(4L54 ( EDF#: <br /> alli <br /> C) - <br /> N m A \ <br /> Sample Container m <br /> s o m p <br /> Type: Type: d m w <br /> Soil Gas Summa G o <br /> Date Start Finish /Indoor Can/ Initial Final ME E <br /> Sample ID Sampled Time TimeAir o o <br /> ressum LL Summg ts�'n"#/comments <br /> SCs 1 t ok-I+ 16 1 Sbt� e. Sa 30 1 R at5 <br /> Z 1Ua4 IV.24 I3v 1 7- <br /> c d <br /> t .52_ t5:51 �.0 3 L, <br /> -bO W: A <br /> • <br /> Reli ulshed by: (signature) Date/Time Re ived fia e) a.ttie/Ti - otal#of containers - Notes - <br /> G^5/-- IL-1,I `- 7�/ Chain of Custody seals Y/ PC4E TC EI-2 <br /> R .telinquished by:(signature) Da e/Time R y ate/Time g.9• Seals intact? N/ <br /> I_Z-4 i4ng <br /> r Received good condition/cold _ \ <br /> Relinquished by:(si at e) Date/Time Received by: (signature) Da / lme <br /> Turn around time: <br /> `TO-16 SIM analysis available upon prior notification.(Precertifled Summa cans needed) <br /> Cocas 145219 <br />