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J CHAIN OF CUSTODY RECORD VOC Log Number <br /> Client name f P so or PDN ,Q Analyses required <br /> Addre Phone N <br /> - <br /> 944&& <br /> C ate,Zip Report ttenton m <br /> FQ� <br /> Sampled by <br /> Lab f Number <br /> Sample Date Time See key Of �i �a <br /> number sampled sampled below Sample description containers r g Remarks <br /> 1,0946 .l�/n - ?_ ✓ <br /> 0 1) -I _ ✓ <br /> lam � r <br /> Ivio1YI -Z2 <br /> //05 <br /> X220 /M'1 -3 .f <br /> ign Print Name Company Date Time <br /> Relinquished by Q <br /> Received by { /l {? <br /> Relinquished by <br /> F <br /> Received by <br /> Relinquished by <br /> Received by Laboratory <br /> VOC ANALYTICAL Note Samples are discarded 30 days after results are reported unless other arrangements are made "KEY AQ—Aqueous NA—Nonaqueous SL—Sludge <br /> ❑ 1085&vW Circle,Concord,CA 94518(510)825-3894 Hazardous samples will be returned to client or disposed of at client s expense GW—Groundwater SO—Soil PE—Petroleum <br /> ❑ 801 Western Avenue,Glendale CA 91201 (818)247-5737 Disposal arrangements WW Wastewater <br /> 171 1200 Gene Autry Way Anaheim,CA 02805(714)978-0113 <br />