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Curtis & Tompkins, Ltd. <br />n.__i... _�_.._. n:___ 'U" <br />1 /111tllylll,dl LdUVI dLVIy JII IIJG 10/U <br />2323 Fifth Street <br />Berkeley. CA 94710 <br />+;_510) 486-0900 Phone <br />(510) 486-0532 Fax <br />CHAIN OF CUSTODY <br />L <br />C & T LOGIN #: <br />Sampler:_ <br />_Project No.: �'i v t� V �'J }iL' I (A L, Report To: <br />Project NaTne: M I Y lG' S Company: �y1 ,�V t -t <br />( �tk r1c� CI 2,c- —CA q 5- -3 q-4 <br />Project P.O.: Telephone: <br />Turnaround Time: 1� �� Fax: C1 2c� —cl -T� —:;4-" %, <br />Matrix Preservative <br />Lab Sampling Date — ? y 3 # of _J O O w <br />No. Sample ID. Time in Containers z (0= U <br />Notes: LE RECEIPT <br />Intact [] Cold <br />[J On Ice Ambie <br />Preservative Correct? <br />❑ Yes ❑ No X] N/A <br />SIGNATURE <br />Page of _ �. <br />BY: I RECEIVED BY: <br />X60VDAT / TIME <br />DATE / TIME <br />DATE / TIME <br />i lotto <br />DATE / TIME <br />DATE / TIME <br />DATE / TIME <br />i <br />