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Laboratories, Inc. Chain of Custody Form 04# <br /> Report To: z- <br /> Client: Project#: dd!S Page--L of <br /> Attn: bowid Ki(,k-- Project Name: 1�ex�" e( Comments: <br /> Street Address: Global ID#: EDF4t-, ' bcm1Ne1NrAc,<-c-i <br /> 013< <br /> City,State,Zip: Sampler(s): N-Lvjj(j F +11 dkirke 1vJrnC-icv--n <br /> Phone:5*,SdA7 <br /> 5.4"Fax: <br /> Sample Matrix Are there:my tests with holding times less than <br /> Email Address: (�kl V1 c-,Cel 46 <br /> ore ual to 48 hours? <br /> Work Order#: I 01D 0 COLA Ayes F—INo <br /> W 111 r' Standard Turnaround=10 work days <br /> N I <br /> :jz Ij X-4 �g g <br /> cl— <br /> c'.5 C,0 Other Notes <br /> I P <br /> 4-1 1 1,,D <br /> 22 <br /> OPA <br /> L <br /> V2 08- 09 3e, <br /> 1 <br /> IME 0951 Ff qHnef I <br /> -- -- -$@3) OP SS1 <br /> C <br /> 6 1)-,4Z- ,r F6 N 52 <br /> ;,-1 048-9 6el or, ci� BOD MBAS GOTJ <br /> I d-\ oci it <br /> ne- <br /> F-1 Same as above EDF Required? Global ID System# <br /> (Needed for EDF) (Needed for EDT) <br /> Client: 1. Hinquish�Ydd �y -/ Datq Time 1. Received By Date Time <br /> D<Yes No <br /> (,q, <br /> YJ <br /> Address: �' �_j_ / I <br /> 0 li� 4 <br /> Send Copy to State of 2. Relinquishe ff,By Date 'time 2. Received Dlt Time <br /> PCity: State Zip CA?(EDT) 12 <br /> Attn: E]Yes [,Z No Relinquished Vy Dale Time �- e eived By date Time. <br /> PO#: <br /> BC Laboratories, Inc.—4100 Atlas Ct.—Bakersfield, CA 93308—661.327.4911—Fax: 661,327.1918—www.bclabs.com <br />