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PP' <br /> CHAIN OF CUSTODY APPL, Inc. <br /> RECORD 4203 W. Swift Avenue, Fresno, CA 93722 <br /> Phone: (209)275-2175 <br /> Fax: (209) 754422 <br /> Project Name/Number Sampler(Print) Analysis Requested/Method Number Date Shipped: kZ11L. 1in <br /> AVz L- 0 �"-ZrJ g:;C.-C; -:i'z-1 t IN t7-\I c-+tN e-L- <br /> Carrier. FE <br /> Purchase Order Number Sampler(Signature) <br /> Waybill No.: <br /> r IQ Comments: <br /> oate INUMb.1d I C I" 'J pc <br /> TWO )1Z C.; <br /> Co� CGIWcted MW= wnUinem >AJ <br /> Sample Identification <br /> AP-t- A - 01:5 js�,vo -:3X 4a ML <br /> L C, 5�4(- <br /> -3 TIZIP 1-"LN-JV- _S- --3** /K1 6 %1\-L N;c.A <br /> ShuMi Temperature: Turnaround quested: <br /> Re Sample Disposal: <br /> , <br /> Standard(2-3 week) ❑ One week IX 24-48 hour El Return to client [3 Disposal by ab(3o-4aymwnw.) <br /> Relinquished by sam,P)W, Date J Time Received by: Relinquished by. Date Time Received by: <br /> nquished by: Date Time Received by: Relinq=*, D 6; I Time R ed a <br /> WZ / 77 -as' <br /> I - yS <br /> Report to. Mc, Bill to: <br /> Le-ou:-z-, CIN C�A" e <br /> FAMI: S 16 `1-4'?, -et J-1:± <br /> White: Return to client with report Yellow. Laboratory Copy Pink- Sampler <br /> CS 010972 c.o.c. N2 2068 <br /> City of Stockton 190855-OOM <br />