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11720 NoM Cteek"N Suite 400,Bothell,WA 98011.5244 425420.9300 FAX 420.9210 <br /> 11922 E.Fiat Ave,Spokane,WA 99206.5302 509.924-WO FAX 924.9290 <br /> Testl--Vw&,..a • 9405 SW Nimbus Ave.Beaverton,OR 97005-7145 503-9069200 PAX 906-9210 <br /> 2000 W lntomRioasl Airport Rd Ste A10,Anohmtaga,AK 99503.1119 907-563-9200 FAX 563-9210 <br /> ANAMICAI TWNG COMMATION <br /> �y CHAIN OF CUSTODY REPORT Work order 0: <br /> pn� a� Q U N INVOWETO: �1 t1—e�iC �pp�,q A,, TURNAROUND REQUEST <br /> IL REFORM: <br /> c�VbQ' t�drgZq VVOS— 1+'°"'i t°i in Ra Days <br /> A13DRESS: LINJINlovLR 15a3jp p.(� �b'� p��j th Q��� °'�`& eA�' <br /> HONE:�u l U1 70 15 FAX O P.O. Pam�m�Byd carbon Aaa>yaa <br /> PROJECT NAME:- QA�t� ea* PRESERVATIVE <br /> ROJECTNUMBER: S W RE&ASTED ANALYSES SPCA. <br /> SAMPLED BY: •7Ln,moxrtdRageatr lam <br /> Ma aaadardaaVimmr Aub OslWva <br /> t <br /> i <br /> . CLffi4T$AMPLE SAMPIdNOa 7 MATRDC ROF LOCATION/ TA <br /> WMfrMCATION IMMI'IME M.&O) CONT. COMMMM WO W <br /> ewwEID13D 6 � fl <br /> 3 <br /> S <br /> 6 <br /> i <br /> E <br /> 9 <br /> iRE1FASED BY: IM7E BE®IV>'DaY: p� DAT¢:'I Z V <br /> NAhtB: Qe 11R.' <br /> RY: DATE _ RECMVEDBY: DATE: <br /> htM03: Faa7: 741E NAT®: rum.. 4 Toa: <br /> maALRffi LARKS: y <br /> A OF <br /> Note:By rainquishiDg samples to TGOAmefts,olieta agrees to pay for the services nquated on this chain of eustody fot0t and for any&Mfi nal analyses parformod on this pMoct. <br /> Paymem for services is due withfu 30 days ftom the date of involve gloss otherwise ee7Mlww&St mplo(s)will be disposed of after 30 days unless O%Wwisa contracted. <br />