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0 <br /> CHAIN Of CUS70DY RECORD ¢ '�E,k�/E I f C Q kfTG>� ��[j�[,a(� BCA Log Number <br /> Client name _ Protect or PON rAnalyses required <br /> 7aCO3-067 <br /> Address Phone N <br /> SCS �SKfQK Ave j5!o-Q37-910V <br /> City Slate ZIPReport attention \ $ <br /> T[EX-S-A Ol c t (?A 94:5-23 TODD M ru.Elz- <br /> Lab Type. Sampled by Number <br /> MTI JEWOA <br /> Kr 10- <br /> Sample Date Time See key of <br /> number sampled sampled below Sample description containers �Q� �({„� Remarks <br /> AQ <br /> 2114-5-0 6 W 100466 -M W- I <br /> M W Z� loon <br /> 11,8 lac-b-MW- 3 <br /> 1&00 laactrb-M w-4 <br /> T.-1 <br /> t <br /> Signatu Print'Nome ; Company Date Tome <br /> Relinquished - 7r <br /> �j M C r/egA /� _ _ .n_.`f� (� ��[►� <br /> Received by r {'�~�[ �•� T 7 <br /> Relinquished by 11M+ <br /> Received by <br /> Relinquished by <br /> Received by Laboratory 0< <br /> B C ANALYTICAL Note Samples are discarded 30 days atter results are reported unless other arrangements are made 'KEY AQ—Aqueous NA—Nonaqueous rSL—audile <br /> 1 J 1085 Shary Circle Concord CA 94518(510)825-3894 Hazardous samples will be returned to client or disposed of at client's expense QW--Groundwater SO—Soil PE—3,*Weum <br /> 801 Wtt9J(rn Avr om Glendale CA 91201(818)2415737 Disposal arrangemeni, – __ WW Wastewater <br />