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arRna i( �� � I <br /> on Ave Irvine CA 92606{949)281 7622 FAX(949)261 1228 fes,[/� IJt. N <br /> 1014E Coo Suds A Coflon CA 92324{909)3764687 FAX(904)370-1046 �i / — —' <br /> 7277 Hayvenhurzl Suds B 12 V Nuys CA 91406{91 e)779 1844 FAX(818)77&1843 , r 1 �� �� t 1,�-= e r /_� - 'Zie,r4 <br /> 9630 South 51st 51 Suns B 124 Pheenu AZ 85044{480)795-0643 FAX(480)785-0851 /' 7L V�� <br /> 9484 Chesapeake or Suds 905 San Otego CA 92123(11581 505 9596 FAX(858)505.9889 <br /> A2 <br /> CHAIN OF CUSTODY FORM Page of <br /> Client Name/Address Project/PO Number <br /> ow--7o9 S-0 -_07— <br /> lysis Required <br /> Pry 42 <br /> Project Manager Phone Number ` <br /> m'2- 72-�5--U7o 7i `t <br /> Sampler Q Fax Number <br /> Sample Sample Container #of Sampling Sampling Preservatives <br /> P P 9 P 9 <br /> Description Matnx 'type Cont Date Time <br /> Special Instructions <br /> 114 LJ L F. V° r a9u S 114-06 q:36 H I ► .-, /� <br /> n4k) - ZS [2_DG ft-?-Go q-a0 �0 ! <br /> loul- <br /> VkW — 6 -` 12—M 00 �° �r l �►'b�a,�l ZLr <br /> Mw - '9A - 12--oo 5-6 X <br /> Mw - qP - 1,)-m tz-1-o6 P0 145 <br /> I <br /> t� -� t7-.zS <br /> w—3 A - 1`z.v o � <br /> �v--5 A — 25 X <br /> Relinquished By ` Date Mmetrn Received by Date Mme Turnaround Time (Check) <br /> Geb 261e- l�i/v] �ti--S-40 I z- [ same day 72 hours <br /> Relinquished By Date Mme Received by- /) Date Mme 24 hours 5 days`/ <br /> 48 hours normal <br /> Relinquished 8y Date It ime Recet ed(n b 1 Date Mme Sample Integrity (Check) <br /> Z—��iJ ('� �7 intact _V1,_ on ice <br /> Note By relinqu j samples to Del Mar Analytical,client agrees to pay for the services requested on this c of custody form and any additional analyses performed on this project Payment for s s(s <br /> due within 30 day,-rrom the date of Invoice Sample(s)wdl be disposed of after 30 days <br />