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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 /> report to a phone fax <br /> ! *tP l (850 ],5vt Cur-7- SSE, S(Vc? 06-f S- �/ ANALYSIS REQUESTED Turnaround Time <br /> company +� project <br /> ASAP <br /> L1 <br /> 48 hr ❑ <br /> addre(ss, <br /> "Ki^y,,� protect ] <br /> C 12 hr 72 hr <br /> sampler <br /> 00 24 hr std <br /> 1 <br /> 0 <br /> ,i <br /> WeM SAMPLE DESCRIPTION Date Sampled+ , Time Matrix Preserve Remarks <br /> ce- erg <br /> r G !,0w tl {2- [ —Elft �OliL :rc.( t <br /> 1; Cly r8 qr `if it. 3 t i 4 � <br /> a <br /> I <br /> LUFT EDD Relinquished b Received by- <br /> Signature <br /> Comments � q y� � Y� <br /> E ' J� <br /> Signature r Signature�-'-'� � <br /> PrintPrint � ✓� <br /> Company Company <br /> Date ii"��t' Time Date 0 �/{ 7, e�� Time <br /> Sample integrity upon receipt. Bill 3rd Party Relinquished by. Received by ZymaX envirotechnology,inc- <br /> Samples received intact Signature Signature <br /> Samples received cold Print Print <br /> r <br /> Custody seals Company Company <br /> ° c4iz ct container types Quo Date Time Date Time <br /> w sed0l 10-0! <br /> Quote yes n❑ <br /> email zymesag <br /> vsa com Page�of Ye"' <br /> I, !� S im— <br />