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Del OrAnalytical <br /> 2852 Alton Ave Irvine CA 92606 (949)261 1022 FAX(949)261 1228 <br /> 1014 E Cooley or Suite A Cotton CA 92324 (909)370 4667 FAX(909)370 1046 <br /> 9484 Chesapeake or Suite 805 San Diego CA 92123 (858)505 8596 FAX(658)505 9689 <br /> 9830 South 51st St Suite B 120 Phoenix AZ 65044 (48D)785-0043 FAX(480)785 0651 C H A I I O F CUSTODY FORM Page Ot <br /> 2520 S Sunset Rd N3 Las Vegas NV 89t20 0702)798 3520 FAX{702)798 3621 <br /> Glien NamelAddress ProlectlPO Number iknaiysis Required <br /> � 3 q/ 067- 76 yea-b S <br /> I Project Manager Phone Number <br /> r'ted L / 2- <br /> Sampler <br /> Sampler Fax Number ,n <br /> l <br /> 'Je , 70�' <br /> Sample Sample Container #of Sampling Preservatives 4 `L <br /> Description Matrix Type Cant Date/Time Special Instructions <br /> - 39 OL <br /> VO A <br /> YR <br /> G'U r 8 VdA '6�� ; <br /> VO4 <br /> 14c 4- <br /> AJ- <br /> kid -� , Q Vel 3�oz M <br /> A lb�r -102 a L � 1 ,4m I� <br /> VQ �6.0 �11 \ Am bov- <br /> '(� r (,,.��� ' �, <br /> Date ITime Received Date IT Turnaround Time (Check) <br /> Relin�gished By �y (, <br /> same day 72 hours <br /> Relinquished 8 Date/Time Received by Date/Time 24 hours 5 days <br /> 48 hours normal <br /> Relinquished By Date jTtme Rec v in L by// Date!Time Sample 1ptegnty (Check) p C— <br /> " <br /> 5 -9(— 11OL intact _)g,_ on ice <br /> Note By relinquishing samples to Del Mar Analytical,client agrees to pay for the services requested on thisc in of custody form and any additional analyses performed on this project Payment for services is <br /> due within 30 days from the date of invoice Sample(s)will be disposed of after 30 days COC-GB <br />