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M M® M M® M M M M M w® M M® M M M <br />Laboratories, Inc. <br />Chain of Custody Form <br />61a-'IzqtLV <br />'client: <br />Attn: jbkri , jq,-q1V6- <br />Project Name: ay-mj 46116vb" <br />Comments: <br />Street Address: M Fd~d4D CQtf- <br />Global ID #: <br />City State. zip: 3ail 'b I CA q2Llo2-4 <br />Sampler(s): 1, 96Wer- <br />Phone: SVS 441-10L <br />'4 <br />Address: rANMOomL <br />Sample <br />Are lae,c guy ILSts <br />or afoul <br />witiJuddiag times I., thouEmail <br />W 48 hours: <br />in? <br />Ua <br />Work Order #: <br />J <br />0 Y.. El N. <br />Turnaround 10 work days <br />Notes <br />114 VV- 1A <br />mw— JoA <br />0- <br />pA <br />f Tromp J9144k <br />"UB-Q[JT <br />C&Same as above EDF Required? Global ID- <br />Scilent # <br />Tient: <br />Weeded 14 EDF1 <br />e I tl iSlIed By <br />s No Reli 4 <br />Xy. I <br />❑ <br />late 1. "Y,d B Y <br />(.�.dd fo, ED 1) <br />Date Tbuc <br />address: <br />�A� <br />A2 - <br />t. <br />�821 7 <br />MY: State Zip <br />ittn: <br />Send Copy to State ofa <br />Ck? I EDT) <br />El Yes XNo <br />i & 1 u i s id'[Sy/ <br />_i� <br />Date IM <br />'Time <br />E <br />)— . R I'M 13 <br />-ti.- . <br />Dole Time/ <br />3. Re quigil'ad Date <br />Bl'*/� Time <br />11 X <br />3 It i dB <br />Date 11"IL <br />a2:4A <br />I I Al <br />BC Laboratories, <br />- — <br />Inc. – 4100 Atlas Ct. – Bakersfield CA 93308 – 661.327.4911– Fax: 661.327.19*18 – www Mabs.com <br />P -EE -- 6eG <br />2 -4'Y -1z- vvs- <br />K*00-- <br />0 <br />co <br />