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1• � M M M M M M M M <br /> 2852 Alton Ave 1014 F r Suite A 16525 Sherman Way Suite C 1 1 2465 W 12th St Suite f <br /> el MarRnalical Irvine CA 92714 Colton CA � 4 Van Nuys CA 91406 Tempe AZ 85281 <br /> (714)261 1022 (909)370 4667 (818)779 1844 {602)968 8272 .r <br /> FAX(714)261 1228 FAX(909)370 1046 FAX(818)779 1843 FAX(602)968 1338 <br /> CHAIN OF CUSTODY/REQUEST FOR ANALYSIS <br /> Client Name/Address Project V <br /> , 1 1 <br /> SO-T/A E-%VIRO�W�� U1AL j ) V` UL 15TUC��(J;u Analysis Required <br /> VIAt App , I ;O �! !- C }� Q <br /> 54 td �IE60 CA )212 r <br /> Project Manager Sampler F <br /> A iv U <br /> Sample Sample Container #of Sampling Special <br /> ' e Description Matrix Type Cont Date/Time Preservatives Instructions <br /> M W_j Wo , 40m'i VIALS 2 913q94 ft <br /> Ivl — r h <br /> LT <br /> Rehriqulshed By Datef ime Received By Date/Time Turnaround Time (check) <br /> Vq ,� (�z I) ��3°l�� ( ' pS `i CI el.�L� r�� ; : S sarriltday 72 hours <br /> 24 hours 5 days <br /> Relinquished By Date/Time Received By DatelTime <br /> 48 hours normal <br /> Sample Integrlty (check) <br /> Relinquished By Date/Time `1 t/ � � p�EelTlme� hl <br /> ,4 �� ��%} in on ice <br /> Note Samples will be disposed of after 30 days 1 �✓ G 1 (,� I l Oa <br /> U <br />