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J i ' CHAIN . CUSTODY RECORD <br /> BOYAAJIAN & ROSS, INC.IE;t <br /> Environmental Scientists & Engineers S <br /> PRaEC7 TASK NO. <br /> 7320 East Shaw Avenue, Suite 155. Fresno, CA 93710 J <br /> Tel. (los) 225-jaw Fax (209) 226-6280 SAMPLER: Printed: <br /> t } t x Signature: <br /> Bitting: ANALYSIS REQUESTED TURNAROUND �, <br /> l C ❑ RUSH ❑ _ HR. <br /> ' ro <br /> R ❑ ROUTINE <br /> Attn-- P.O. 0 <br /> Report 80YAJ11AN&ROSS. INC, j {j NOTES: ' <br /> 1320 EAST SHAW AVENUE SUITE 155 <br /> FRESNO CA_93110 Q m <br /> E E <br /> Attn: , <br /> y z. REMARKS <br /> DATE TIME SAMPLE LAB k F w Preservation, Handling. <br /> NO. ' I.D. NO. ) or Observations <br /> a <br /> t i <br /> i <br /> i <br /> � t <br /> ' Loil, Water, Vapor, Other) Total No. of Containers # <br /> SPECIAL INSTRUCTIONS: 1 <br /> RELINQUISHED TO: a SAMPLE RECEIPT: I <br /> Printed: Company: s # D Received in Good Condition <br /> Signature: Date- t Time: ' ❑ Samples Properly Cooled, Temp. <br /> RECEIVED FROM: <br /> F ❑ Proper Containers i { <br /> Printed: Company: Method of Shipment: <br /> Signature: Date: = 71me: <br /> RELINQUISHED BY: � r � , <br /> Comments: <br /> Printed: Company: <br /> Signature: Date: t Time: j <br /> RECEIVED IBY (LAB) <br /> Printed: ' Company: <br /> t _ <br /> Signature: Date: a Time: <br /> DISTRIBUTION: White - Return to B&R wl Reports Canary - Laboratory Pink - B&R Sampler <br /> Rgure G2 <br />