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AIR <br /> Sample Transportation NoticeTOXICS LTD. Rarnquierang allgnature an this docurient incieates fat ixinipla h being ah7ppa t in 180 8LUE RINE ROAD,SUITE B <br /> tits ENVi,ONMEWAL ANALYTICAL LABORATOtly Wih ai'apple JocW,State;Federal,Worts,and inbmatianitl laws,regulations and ordinenoas FOLSO M, CA 96680-47" <br /> at any %ird.Air Tordcs Li-milled assumes ,a liability vAih renect to the collection, handling or � �,}98�-1000 FAX i s}9&5,11020 <br /> shippinof g that&aamp:ss. Relinquishing sl7naivre also'.ndicatas agraeneit io holL IMir ndsrsa, <br /> CHAIN-OF-CUSTODY RECORD Oe:er:d,ars)irddemnilY Air,oxfcs limited ageing any claim.derranc,oracu3n,oe any>t inet,raitteei <br /> to the exallersinn, hanrriinr.,or Rhip;ling of sarr WS.0.0.7.M4yL1e(2t)d}tB7 4 22. Page L_of <br /> Canted.PerSCI� + ► Proje;rt info: :Turn Around tae ttse tkxy::' <br /> Company t7. -- ;scar Lrnaif Time: Pr�siartzect by: <br /> Addime C ' crr��e.�{ cty <br /> _.�-rra.r urate Zip < P.O. <br /> Pl'one-'-ZC?75 ts''3 / Fax . D`7`S � i ` I Prnject a r+��G -j' URush •.....,. ',•. <br /> •• 'Pr�esst�r�zt^ttion°Vis:' <br /> !1[fected by.,(sig1alwe) _ Ptr�jpix MarneIVB. <br /> spseiiy e. <br /> Canister PressureNat uum <br /> Lai>k E:i13.. Field Sample J.D.Ucatioo) f rani Date Time Analyses Requested c <br /> Initial inali.ftsoeipF F-in' I <br /> 61 <br /> 4X'S Cr it e.12410 1. .C� �' : r: • f� <br /> :i�{ cj eol4 � C1iar /.til'" <br /> • - ISI 6.x"2 rs" •. _ ' <br /> Refirquished ,y ' nafure} }►DatoNirnc R �y; s' aiatr�e} mime : <br /> or <br /> Reiirg shednaeure) DAWTime Received �y: (signature) Date-,rime <br /> Refir wished by; (Signalure) DalelTirrie R$ceivad by: ( ignaah:re) TaWlirne <br /> Stt.pp0A.-Name" .air.'Siii J*'• T rnp(�^}. •-_ 'DOndi#it n' (uetflrri r"deal <br /> ' s I nta#? U4rord�t'J rxl�r#" <br /> T)i[ <br /> �.Ctiily. <br /> ��-tea ono <br />