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v —� LAI-1 p- PLEASE RETURN ORIGINAL <br /> _ LAWRENCE&ASSOCIATES CHAIN-OF-CUSTODY FORM ANALYSIS REQUESTED <br /> 3590 Iron Ct. <br /> Shasta Like,CA 96019 - <br /> i AF REiviC I (530)275-4$00 <br /> S wSOCIAIL fax: (530)275-7970 LABORATORY{ Ci Lx,6 Y'a-cd'\4,—s .✓t-��, <br /> PROJECT r !a p (?C/`'11- 1 6✓N 4--��o� 77/x' Io' ,& /G+,A(4-�,r / _ 1 <br /> JOB NUMBER OQ41 194-,Q T... CYn le ieA4i 1 j l..`+ / ?YC1[p <br /> CONTACT 4k +(J k- <br /> rlr <br /> � � vo <br /> MATRIX 0METHOD SAMPLE NUMBER J <br /> SAMPLING DATE LABORATORY <br /> W PRESERVED # LD.# ) <br /> w <br /> z 1\ <br /> a <br /> O ¢ raj O o o i = z v �^ <br /> 3 N 3 U i s Q YEAR MO. DAY TIME <br /> G C V J <br /> x <br /> Pd - -1 � <br /> / C <br /> �3 <br /> R <br /> COMMENTS AND NOTES CHAIN OF CUSTODY RECORD <br /> L&AGLOBAL ID# .5 f L 550 '2-356- 6 S BV: Sg / _i naturet' our i <br /> SITE ID# <br /> C� r �bc,\I�N � �IN� \L•�V�1 ED BY: ur f yv RECEIVED BY:(SignaWre)Da�H'ur `O <br /> /4. <br /> PbF L1NQUI5 Y: a ure ate/Hour RECEIVED BY:( 'gnalure) 10.53 10 <br /> QLLld 3IlLO 2tL� <br /> RELINQUISH D BY:(Signature)Date/Hour RECEIVED :(Signature) <br /> DISPATCHED BY:(Signature)Dale/Hour RECEIVED BY:(Signature) <br /> PAGE�OF� _BILL TO: L&� CLIENT❑ <br />