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Lab No.�v <br /> Section I Chain of Custody and Analysis Request <br /> Company Golden West Turn Around Time <br /> Address PO Brno 1236/1060 Wrlesto Avenue _ _ (drde a ) S er1or�4,�nlyllcall�bo tirlbrks, Jnc, <br /> Brentwood, CA 94513 Same Day 72 Hrn <br /> Martine:,celffomle LAbormay <br /> Phone Np.(4'15) 634-1998_Fax No.( 24 H% 48 Hre 925 ArwM or ft 114 <br /> 53 <br /> Project Manager �rmals <br /> M(4mthw g g512 <br /> Alternate Contact Sampler <br /> Project No. P.O. No. Regulatory Agency w CO <br /> Section 11: Analysis Request <br /> _ Sampling Remarks <br /> 41 F-1 8ioremedieitan <br /> a L 0 L (Z,Ges/Exesal Contamination <br /> 3 T* I+Q to .� �]Monitoring <br /> t U) E:] Unknown Compounds <br /> Sample m 311 °'W ' W • I I <br /> Identification Matra E o I- Pasqua PCB Contamingmn <br /> ' -t71 e5 <br /> 'L J fa <br /> 3 fs 10 <br /> P 3 � fu <br /> 5 <br /> L5" 111 <br /> • 6 3v_ rl <br /> 1 r <br /> 0 <br /> � Z IS <br /> Aar nq„shed by Daw/r ReoeWed by /�"" Lab please initial the following: <br /> otganaa m Ga LO eAJ t6E.5-r — 4-Z-S 52 orgammation ga,t,pbea stored in foe <br /> Aelinquishad by Date/Tins Received by Bate/lime AAW <br /> �PMpmw�mpme� <br /> lorvaor�euir>xntion Organixetion 1101!9 vAfx%t HeadapaW <br /> gohn <br /> Relinquished by Daee/Time Recen by contents <br />