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Dela �tr Anal icad 0 <br /> 2852 Alton Ave Irvine CA 92606 (949)261 1022 FAX(949)261 1228 <br /> 1014 E Cooley DT Suite A Colton CA 92324 (909)370-4667 FAX(909)370 1046 <br /> 9484 Chesapeake Dr Suite 805 San Diego CA 92123 (858)505 8596 FAX(858)505 9689 <br /> 9830 South 51st St Suite 5-120 Phoenix AZ 85044 (480)7B5-0043 FAX(460)785 0851 C H A O F CUSTODY FORM Page of <br /> 2520 E Sunset Fid #3 Las Vegas NV 69120 (702)798 3620 FAX(702)798 3621 <br /> Client Name/Address ProlecilPO Number S Analysis Required <br /> Project Manager <br /> Phone Number <br /> Sampler r Fax Number x <br /> sample Sample Container #of Sampling Preservatives '� ` <br /> Description Matrix Type Cont Date/Time Special Instructions <br /> I 6 l� <br /> � x X/ <br /> Retlnlshed By Date ITtme Re cel ed b Date!Time Turnaround Time (Check) <br /> ?? same day 72 hours <br /> Relinquished By Date!Time Received by PI Date/Time 24 hours 5 days <br /> 48 hours normal <br /> Relinquished By Date!Time ReWe , Lab y Date!Time Sample Integrity (Check) <br /> intact _ on ice <br /> Note By relinquishing samples to Del Mar Analytical client agrees to pay for the services requested on this Vain 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 GOC-GB <br />