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DWOarAnalytical <br /> 'FAx(9491 261 1225 �,it • � �'r� u-� 7 � <br /> ( _ <br /> 1014 E Cooley Or SuBa A Godon CA 92324(939)370-4687 FAX(909}97609 <br /> 16 i7 �j�� �� �' � N, <br /> ♦ f <br /> 7277 Hayvenhurst Susie B-12 Vm Nuys GA 91405{a1 B)779-%B44 FAX(81 B)779 1 B49 Z7 Z[ Pr <br /> 9830 South 51st Sl Suns 8 120 Ph—AZ x5044(480)795-0043 FAX(400)785-0851 /`-��+�- JJf ci�`r <br /> 9484 ChesepeaAa Or Sups 905 Sart'Diego CA 92123(a58)505.9596 FAX(a58)505 9689 �� nJ,.4 2— <br /> CHAIN <br /> i <br /> CHAIN OF CUSTODY FORM Page of <br /> Client NamelAddress Project/PO Number <br /> �j�s tvOV•rl>�►�. P.Yj,Z- 7� _ Analysis Required <br /> 270 Z- IF- ��e'�: <br /> Project Manager / Phone Number <br /> 402- -72-0 <br /> Sampler 9 r Fax Number _ J �4 <br /> 72-2 <br /> Sample Sample Container #of Sampling Sampling Preservatives w o <br /> Description Matrix Type Cont Date Time Special instructions <br /> - 1ICKD V Vro �` < < �-�� rZ=ZD NCS p 1� <br /> Z-0o f-hO vela 4 z so cc <br /> Ll 7-1.05 <br /> Jll2t,� - Sl. Lo �I�� I---° y t !a'-co-� q•3o r CQ ?° ,4- GGL r <br /> 12-00 W,A �f i r z_� as -S-,3.5 cc Jv .!- Uo <br /> 7 - � t froA rz. _eo S75 <br /> kv ?a ' <br /> I <br /> Relinquished By Date Mme Receivedtrate Mme <br /> by Turnaround Time (Check) <br /> &N TLC M--8 -o o Z Q same day 72 hours <br /> Relinquished By Date Mme Received by Date Mme 24 hours 5 days <br /> 48 hours normal <br /> Re11rgU15ht d By Date[Time Receiv Lab y Date rime Sample Inlegnty (Check) <br /> �� u ev f Z'-fGy intact on ice <br /> Note By relinqui samples to Del Mar Analytical,client agrees to pay for the services requested on tFas c Xt ustody form and any adddional analyses performed on this project Payment for s1 Ste <br /> due within 30 days from the date of invoice Sample(s)will be disposed of after 30 days if <br />