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® --_ - DeMenno/Kerdoon C"hain of Custody ' <br /> V. "Recycling For A Cleaner Environment' <br /> 2000 North Alameda Street•Compton, CA 90222QQ j <br /> ® (310)537-7100 Fax:(310)639-2946 Date U"-a ®� Page of f <br /> CA-DHS ELAP Certificate#2037 <br /> Client: M en Contact: Tel. Fax: <br /> A,r v,- rower 1�lw,n,s �cr�e.c 2clQo„r Z®9 a-C>314 <br /> Address: 0v Cry City: State: C,,&- Zip Code: <br /> �fi rc,�c.- -��. <br /> Project Name: Sampler(s) Signature: <br /> Glc,, (J� -- -- <br /> Project Manager: Aar (zY Approved By: <br /> Due Date ❑ Regular LJ Rush Days Comments: <br /> Lab Date Time No. of <br /> Sample Description ID Collected Matrix Containers Analysis Requested <br /> �''8 ( � �0 -s-® $-� -��t 'L�/vPw► �.✓��✓ ' N+ � 1 S� �a��- Wi�frtv'D: <br /> �T <br /> Sample Conditions: Seal ❑ act Br en U None;Temperature Cold ❑ Room; Other <br /> Relinquished by (Signature c Received by (Signature) Date/Time 00 Pro/ <br /> Relinquished by (signatu �-� Received by (Signature) Date/Time Cj?� 2.- <br /> Relinquished by (Sign ture Received by (Signature) Date/Time <br /> SPECIAL 1 ST CT <br /> �t r�s�,�, �Gv,n;s ��•1 �. ���I�� CS< ��a�) �- taSwfCt r� ` `6,536 -l�j <br /> WHITE COPY—Client PINI( COPY—Courier <br />