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CD V0\4arAnalVtfcal <br /> 2852 Alton Ave Irvine CA 92606 19491261 1022 FAX 19491 261 1229 <br /> 1014 E Cooley Or Suite A Colton CA 92324 (909)370-4667 FAX(909)370 1046 <br /> 7277 Harenhutsl Suite B 12 Van Nuys CA 91406 (816)779-1844 FAX 18181 779 1843 <br /> 9830 South 51st St Suite <br /> B 120 nPhoenix <br /> go CA 65044 14801 785-0043 FAX 44801 785-0851 <br /> 9464 Chesapeake Or Smie 805 San Diego CA 92123 (858150.5 9596 FAX(BSB)505-9689 �/.r/,,�Ce•'+1��(`Q''y�{'J�� <br /> CHAIN OF CUSTODY FORM Page of <br /> Client Name/AddressProjectlPO Number <br /> &&Q s � W �Z— 70 9�Q—Q Anal sls Required <br /> 1 433 Al,� 3"Y 4 r 11°5�9 <br /> Pl�ewJ ,r�zs"c]o <br /> Project Mana574,0ILa <br /> Phone Number v <br /> g, (gaz- 7 Z -0 76 7 oQ <br /> Sampler Fax Number {� <br /> Sample Sample Container #of Sampling Sampling Preservatives <br /> Description Matrix Type Cont Date Time Special Instructions <br /> jtiZtc� - g D?a( <br /> bill J? IrD <br /> 24y g—070 sola 8 od Y, 1 p X <br /> V1 7)rL) 17-11) sa ?Q <br /> i I <br /> I I <br /> Relinquished By pateime Receyv by Datemme Turnaround Time (Check) <br /> »� 7���� l:/� •' ��/� fs� same day 72 hours <br /> Relinquished By Daterrime Received by Date/I ime 24 hours 5 days <br /> 48 hours normal <br /> Relinquished By DateMme Received in Lab by Date/Time Sample Integrity (Check) <br /> intact on Ice <br /> Note By rellnqulshmg 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 1s <br /> due within 30 days from the date of invoice Sample(s)will be disposed of after 30 days <br />