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-!IIA1 <br /> Laboratories,Inc. Chain of Custody Form <br /> tet fl: <br /> Rq"l To., A Page of <br /> C.Pent:/ff'st + 54 <br /> Attn: N -'_-;1kW4"AJeProject Name:KYZC IM44AI 4 13V Comments: <br /> Street Address:,%30 5.14wY 11. A&fw- Global M#: ­:I . 1" <br /> r h� <br /> ,Ats, M6 Sampler(s): <br /> City,State,Zlp_�6_ _V01;AJtr- .... I 'p� bDT <br /> Phone 43H3q_qjii F,.,.( -131-DS7 �1_ 'A 1-J, 4 <br /> US <br /> Sample AutriX Am there any tvft with holding times less than <br /> or equal to 48 hours7 <br /> Email Address;4,,5WUV*6C-S-r,0 <br /> yes JO N. <br /> Work Order A IEW <br /> u Standard Tumaround=10 work days <br /> Dt <br /> ampat <br /> le i)escriptioi� Time2Y C <br /> 0 Notes <br /> Sa pte IA J5 0 other <br /> FB @ -\Alp-[( *1 4 1 <br /> zCA *4 /we A t 1 6719 <br /> Y <br /> S well 6-7 lq <br /> 'CYA* Iwe #-2 0741 <br /> oil * I OR* <br /> — <br /> hoar x <br /> In A&,f- rol (4 cie+ <br /> 71 f - IPT <br /> T.'jP <br /> M <br /> 1:P1 U_io'q;� <br /> Special Reporting <br /> El Same as above Report Drinking Form? Sample Disposal E]OC E]EDF ❑Raw Data <br /> Waters on State [:] Return to Client Disposal by lab El Archive: Months <br /> — <br /> icar"l-Arl L--Aj_r; I 1 1. Relinquished By Dat Time 1. Received By Time <br /> 49ienpt — El Yes Na Wk <br /> A - t�� <br /> & P1310Z 116's <br /> Address: qq 2. Relinquished By Date Time 2. Received By Date Time <br /> State Zip <br /> Send Copy to State of \6(as <br /> Citr. CA? <br /> Attn: Yes 0 No 13. Relinquished By Date Time 3. Received By Date Time <br /> V <br /> 1PO#: <br /> BC Laboratories,Inc.—4100 Atlas Ct.—Bakersfield,CA 93308—661.327.4911—Fax:661327.1918—www.brlabs.com <br />