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1 ����� O�� DeMenno/Kerdoon dba World OII Ro�IMg <br /> 0 "Recycling for a cleaner Envlronment" Chain of Custody <br /> RECYCLING,. 2000 North Alameda Street,Compton,CA 9022 eP r+ <br /> Ph(310)537-7100 Fax(310)639-1254 Date J Page ofd <br /> C4-DHS ELAP Cergjficatc#-2037 <br /> Client: Contact: Tel: ., � , Fax: <br /> Address; ILI City: State: C .!! ip Code: -, <br /> Project Name: Sampler(s) Signature: <br /> Project Manager: ] f,, Approved By: <br /> Due Date ❑ Regular Rush Days Comments: _ <br /> - r3 S ID S SLC L/q <br /> Lab Date Time No. of <br /> Sample Description ID Collected Matrix Containers Analysis Requested <br /> S/� <br /> 5T <br /> Sample Conditions: Seal ❑ n c Broken ❑ None; Temperature ❑ Cold ❑ .Room; Other <br /> Relinquished by (Signature) eceived by (Signature} Date/Time 05-11.7A) .Ow, <br /> Relinquished by (Signature) Received by (Signature) Date/Time 0y•Z7-ZP (04m <br /> Relinquished by (Signature) Received by (Signature) Date/Time d 2� ?•� <br /> SPECIAL INSTRUCTIONS <br /> Please email results to /` )( @worldollcorp.com, �K12 Y- @worldoilcorp,com <br /> WHITE COPY—Laboratory PINK COPY—Courier <br />