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>•� ! �■■ �■■ ■■■IE � >_ � � �■�■ ■�_s � � � �� s��s <br /> 71 Zaca Lane tel 805:544.4696 �. , CHAIN USTODY <br /> Zy San Luis Obispo CA 93401 fax$05.544.$226 f{ � T �� ev, <br /> report toil `s phone, { } fax�� Turnaround Time <br /> ] > J �/ _ -I✓J ' r� ANALYSIS REQUESTED <br /> company project <br /> 1 � r Al�_ -.' wr ` SAP p 48 hr: <br /> W i r ' <br /> f <br /> project # � <br /> address Gi(, u4( �!1Cc P 1 !J -` � . 12 hr 72 hr <br /> I f <br /> 0 <br /> sampler c ❑ �-{ <br /> Z,-V! # n v 24 hr std <br /> rfL ONZ( ;, o <br /> Zymbk Ci -- <br /> use°Qrtly SAMPLE DESCRIPTION Date Sampled Time Matrix Preserve Remarks <br /> f f <br /> 1 <br /> s <br /> Comments LOFT EDD Relinquished by: __ --— Received by: <br /> Signature-~'�-" -- Signature <br /> Print '"' /�!"I �' Print <br /> Company % Company <br /> ©ate % �t � �� Time f,7; Date Time <br /> i y <br /> Sample integrity upon receipt. Bill 3rd Party Relinquished by Received by ZyrgoX envrrotechno ggy. <br /> Samples received intact Signature Signatures ! ` <br /> Samples received cold <br /> Print Print <br /> Custody seals Company Company E <br /> Correct container types PO# Date Time Date � '� � � :`Time ' <br /> ` Quote yes no <br /> email zymox@ZymaXusa com iag� �oF ji3— `e" <br />