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. . Trace Analysis Labcvralory, Inc. 3405 Telephone (Sfo) 783-6960 <br /> 3423 Investment Boulevard #8 • Hayward California 9454 Facsimile (510) 783-1512 <br /> CHAIN OF CUSTODY RECORD <br /> Proj.No. Pro ect Nam <br /> 1009 (ala 2S-3-7 w ccre-i� K'+�0�1 No <br /> SJt tQO -) CcJ i rL;YI'Z �, Analyses./ <br /> Company Name and Address. <br /> EZ S erVe of <br /> Project Manager <br /> Sample Date - Time Site Location Con- <br /> ID tainers REMARKS <br /> �i - ! -7 <br /> 2- -7-3-53 G sU 2 X X <br /> MVV-3 _,3_q3 q 4o X X <br /> FA 7-3-9-S9 'IS 2 X X <br /> 1-3 _ (3''3o Z x x <br /> Sampled by- (signature) Date/Time Relinquished by: (signature) D /Time <br /> 71 � L3 <br /> ffll tt <br /> Received by: (signature) at /,TTme Relinquished by: (sign atu e) Date/Time <br /> 71eFe A <br /> Received for Laboratory by- (signature) Date/Time TURNAROUND TIME <br /> AL- <br /> REMARKSdi <br /> 11 ` <br /> Y <br /> Founding Member of the Association of California Testing Laboratories <br />