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Zyma 71 Zaca Lane tel 805.544.4696 CHAIN of CUSTODY <br /> San Luis Obispo CA 93401 fax 805.544.8226 <br /> '' " ,,t s' = <br /> report to phone fax <br /> C �l� bs <br /> lv) ] ,� � � j s } ;"t4, r�&��! ANALYSIS REQUESTED Turnaround Time <br /> company project <br /> asap ns nr <br /> ' � N <br /> p o _ �, <br /> address ject # <br /> i6 a— 12 hr ❑ 72 hr <br /> EJ <br /> I sampler �`•� C 24 nr std`© <br /> w <br /> Ijrae SAMPLE DESCRIPTION Date Sampled Time Matrix Preserve Remarks <br /> try ��f lboo F }JI <br /> E I <br /> ILI <br /> v <br /> Comments LUFT EDD Relinquished by. k k Received by. i ,� r, <br /> 7 Signature E fY Signature" `^� <br /> Q.1r <br /> _ Print t'.�.�'t2.�+,� �1 � Print _ <br /> Company v�"�'� Company <br /> 1 1 <br /> Date !f— Time �i 1 Date ' a� - Time Mrd =J✓ <br /> Sample integrity upon receipt Bill 3rd Party Relinquished by. Received by ZymaX envirotechnology,inc: <br /> Sampfes received intact Signature Signature <br /> Samples received cold Print Print <br /> Custody seals Company Company <br /> Correct container types PO# Bate Time fate Time <br /> Quote yes no AgaL <br /> email:zyma maXuso.com Page of ��" <br />