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M mW � � � � � � <br /> MonrV Laboratories, Inc, <br /> 2128 North Fust Street,Suite E,San Jose,CA 95131 <br /> Phone(408)453-8090 Fax(408)453-8092 Chain of Custody <br /> Batch # M1-110 <br /> Company SEMCO Protect Name Langston's Market F <br /> Address 1217 South 7th Street Site Address 15615 7th street p `� <br /> Modesto,CA 95351 Lanthrop,CA <br /> Project/PO!f a <br /> 00 <br /> Manag00 <br /> er ger Turn Around Time o a <br /> 00 <br /> G S g <br /> Phone (209)524-9653 Fax (209)520-6663 24 HR 48 HR Mobile Laboratoryw , <br /> SAMPLE LOCATION SAMPLED 1 #of MATRIX <br /> ID DESCRIPTION Time Date Ctrs Sod Water .Air <br /> WTW-1 1006 911195 1 X X X X <br /> WNW-2 1007 911195 1 X JxJx <br /> WTW-3 1520 911195 1 X X X <br /> WUTW-2-T4 14 3119/1/951 2 1 X I X X <br /> WUTW-3-T5 1440 911195 4 X X X <br /> NW 19'-1 1107 911195 1 X X X <br /> F_1 1122 911195 1 X X X <br /> NE 23'-2 112719/1/95 1 X X X <br /> DN 20'-3 1135 911/95 1 X X X <br /> DW 20'-4 1153 911195 1 X X X <br /> DE 20'-5 12 39 9/1/95 1 x X X <br /> DS 2'i'-6 12 5419/1/95 1 x X X X <br /> SW 21'-7 13 1219/1/95 1 X X X <br /> SE21'-8 14 19911195 1 X X X <br /> i <br /> I <br /> Sampler's signature Sampler's name CAAkj\*,9S Comments <br /> ReIm wished b Receivedby �M,� G/u/�/ili/-�� Date g • 5 �n:�k�� <br /> Rehri wished by Received b Date <br /> lReltriguished by Received by lDate <br />