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D;eNWrAnalytical <br />� ) 2852 AItOn Avg Irvine,CA 92606 (949)261 1022 FAx(949)281 1228 s, <br /> 1014E Cooley Dr Suite A Cotton,CA 92324 (909)370-4667 FAX(909)370-1046 <br /> 9484 Chesapeake or Suite 805 Sen Diego CA 92123 (856)505-8596 FAX(858)505-%89 ) " <br /> 9830 South 518t SL et R 8 120,s hoenry,Vegas AZ 85044 (480)785-00431 FAX(460)798 3651 C HA f O F CUSTODY FORM Page ! of <br /> 2520E Sunset Rd#r3 Las Vagal NV 69120 (702)798-3620 FAX(702)798 3fi21 <br /> r Client Name/Address 1 ProjeCUPO Number <br /> ��Y� � f, ��� Analysts Required <br /> `433 It2. 3reyAre- 41e7- 740452�- c�3 s1 <br /> 4 2- es <br /> Project Manager , Phone Number i <br /> Sampler ' Fax Number �� -►. <br /> In. �sT �'t:s. . 71V- <br /> AL-)'L <br /> Sample Sample Container #of Sampling Preservatives y (� <br /> Description Matrix Type Cont DateTrime Special Instructions <br /> IWO-118 DI <br /> wO 4(- 1 <br /> L I -±j A ,6 v, h <br /> VDA <br /> r _ <br /> ;in TSV/ S y J� <br /> t l ', /1 s ^ ` 1 ` 1 J 1 1 <br /> �� 1 y , <br /> r �C Vb <br /> X, <br /> VDA 4 Ac X <br /> 1w 4Q IMI o-disp 14c,i x <br /> M AQ RhA -(}b 1'1. `` , <br /> 41 �Q 1• <br /> e <br /> 1'U L -b o {- c 1 N - <br /> i <br /> Relinquished By s' Date!Time r Received by Date Mme i Turnaround Time (Check) <br /> same day 72 hours <br /> Relinquished By 4; r { Date crime Received by Date 1Time , 24 hours 5 days <br /> r, <br /> 48 hours normal <br /> Relinquished By j 1 -r 1; c ;` t Date 1Time ; Received in Lab by Date/Time i a Sample Integrity (Check) <br /> sf <br /> intact on ice fie <br /> " <br /> Note,By relinquishing samples to Del Mar Analytical,client agrees to pay for the services requested on this chain of custody form and any additional analyses performed on this project Payment for services isr <br /> 1'1 due within,30 days from the date of invoice Sample(s)will be disposed of after 30 days ,I , r -- t` <br /> ,co��e�� <br /> =r[- , <br />