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Date Rec'd: � I x BC CHAIN OF CUSTODY NO. L- ? ' C <br />Client: <br />Sampler: <br />Sample Type: <br />Analysis Requested: <br />Name: <br />Address: <br />Attn: <br />Name: _ C � � <br />Address: <br />Water Other: <br />Soil Soil (specify) <br />Sludge <br />Oil <br />a>>aaa <br />o <br />0 <br />0 <br />o <br />0 <br />0 <br />00 <br />0 <br />o <br />00 <br />o <br />d <br />a <br />b <br />o <br />100, <br />o <br />XxD <br />b <br />y <br />ab <br />d <br />r <br />u <br />o, <br />o <br />00 <br />o <br />o <br />Lab # <br />Description: —Fct .- I Dari T J-110Other <br />Tests <br />'V7 <br />69 <br />(3-5 <br />Relinquished By: <br />Date: <br />Time: <br />Received By: <br />Date: <br />Time: <br />Comments: <br />L h <br />7/7'4 &z <br />White: Return to Customer with Report <br />Yellow: BC Lab Copy_ <br />