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r e <br /> { DelrAnalyhcal }¢i <br /> 1 1 i 285 n Ave,Irvine CA 928m (949)281-'.l—FAX{949)261 1228 • <br /> 1 14 E Cooley Or Suite A,Colton CA 92324 (909)370-4667 FAX(909)370-1046 <br /> 9484 Chesapeake Dr,Suite 805,San Diego,CA 92123 (858)so5-8598 FAx(658)5o&9689 <br /> 9630 South Met 3L,Suite 8-120,Phoenix AZ 65044 (480)765-1043 FAX(480)765-0951 <br /> 2520 E Sunset Rd#3 Las Vegas NV 89120 (702)7983620FAX(702)7983621 C H A I- 4 O F CUSTODY FORM Page -- �-- <br /> Client Name/Address 1 Project/PO Number <br /> Analysts Required <br /> Project Manager Phone Number <br /> I <br /> 5ampter t A�,c� � i Fax Number C� <br /> J' SampleSample Container #of Sampling Preservatives 'b1 <br /> t Desenption Matrix Type Cant Dateffime Special Instructions <br /> "~ 8A <br /> 4r Al5.5 IP <br /> • <br /> t , 6 J�tz .� <br /> It <br /> i <br /> 1 I <br /> ' JJ <br /> E <br /> { 1 i <br /> Relinqjuished By i 1 Date(Time s <br /> y F Received by Date Ifime Turnaround Time (Check) <br /> same day 72 hours <br /> Relinquished By• <br /> ate/Time ! � Received by Date fime 24 hours ; <br /> 5 days <br /> 48 hours normal <br /> Relinquished By, �; Date lime i E Received in Lab by Date lime Sample Integrity (Check) <br /> E IJ „ k '�, >, ay 1 1 { I t t t1 intact- ''" on Ice , f <br /> ;if Note By relinquishing samples to Det Mar Analytical,client agrees to pay for the services requested on this chain of custody form and ar�Laggitlonal�analyses performed on this project Payment far services Is ' <br /> f due within 30 days from,the date of invoice Samples)will be disposed of after 30 days t <br /> 14 E 9 COC�GB 1 <br /> — -i,�__ —. .�,��.ma..,.s., sd,.s�� r_N.- -,s.—,=.:.__ -- - -�rrr�is+:'ss,.•s i <br />