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SunStar <br /> AIR LABORATORY Laborat®ries, Inc. <br /> Chain of Custody Record PROBING QUA=, ANAi-�A kaRvr�s N.nor.>wro$ <br /> \25712 Commerce ntre Drive, Lane,Forest, CA 92630 <br /> ((�� <br /> 949-297-5020 <br /> Client: PAX-Nc(- F CS Date: LEC• .i 7,017 Page Of 1 " <br /> Address: FA,6o4% l(c-COtJ 3 N A Project Name:"T_(C� �lw r— EM�1EilS <br /> Phone:15505-baU- iA(A 0 Fax. W%1- -4Ls6-";`ZSo Collector:M. crjwkIt=pS - Client_Proiect# l�'-f�''12`iP�►`�• Z _ <br /> Project Manager.ToN CRMP%ftJ-- Batch#: T(4Z54 ( 7 EDF#: <br /> \ I t I - <br /> A <br /> `i <br /> CY <br /> Sample Container -r o <br /> Type:. Type: o <br /> Soil Gas Summa �r rn E E (7 10 <br /> Date Start Finish /Indoor Can/ Initial Final <br /> Sample lD Sampled 1 Time 1 Time _Air 1 Tedlar Pressurel Pressure $ ix Summ ^ nb'/Comments, <br /> Vx 1 r(•q tE 16.1 \b=i4 Su so Z )< b1S <br /> Z ttF:t4 B•24 3o 2 * 9 <br /> lS• L <br /> it lEfE0 3 ti o <br /> t :5t <br /> Cx( -bo4 W: •I 6:25 <br /> b1W, 1A <br /> Relllir�(quu1shed by: (signature) - Date/Time Reived fia e) ate/Ti ! otal#of containem Notes <br /> 2 `j/ Chain of Custody seals1-2c <br /> �S <br /> t ` . <br /> Relinquished by:(signature) Date/Time R y ate/Time g.9, Seals Intact? <br /> < a Received good condition/cold E 1 Ph(r <br /> Relinquished by:(si at e) Date/Time Received by:(signature) Da /"rime ` <br /> t <br /> Turn around time: <br /> TO-15 SIM analysis available upon prior notification.(Precertifled Summa cans needed) <br /> cocAL 145219 <br />