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CHAIN-OF-CUSTODY RECORD <br /> 1<razaii <br /> DATE: PAGE OF/ <br /> KRAZAN & ASSOCIATES, INC. Comments: REQUESTED ANALYSES 7iP.Q, Number: <br /> 215 WEST DAKOTA AVENUE Ice Chest No.: <br /> 0 <br /> CLOVIS, CA 93612 <br /> U <br /> (209) 348-2200 VOICE <br /> v Laboratory: <br /> (209) 348-2201 FAX L <br /> a <br /> o <br /> `p N <br /> Project Name ¢ N c Lab Quote No.: <br /> Project No.: 3 q 9 of 03 (optional} a a N s <br /> �.o n N m ¢ a o <br /> Sampler Name Report N v a `o 2 N W N o Method of ShipmentlDelivery: <br /> (Printed}: ^L 11A�. v Z Attention: m L C ^_`! o S a m a N N �J1 <br /> 0.m rY� a z � m O u-r o0 V <br /> Lab Sample s` Krazan Date Time m�, °, m;;a E m o az a. a a 1 <br /> " Sample No. Sampled Sampled Sample Description W o (0�a` rn t z L) m W w Remarks <br /> N I X .7 - <br /> _ <br /> 33 7— _z FoPc IaA/AL�srs <br /> E 3 P_7 STI <br /> :rc <br /> 133 �- <br /> 3y0 _( C aSii <br /> r3ut' - - . <br /> �k�riyh <br /> x Totalo a <br /> r ,M Y r e F PfintedNarne a Date, n: ? aTlfTle COITI eC! NdmB' n <br /> : _ <br /> $lgnatllfe �,. :-._ ' z_,. w_,,�,._ . - $uNuded to Laboratory <br /> p . Y <br /> Relinquished b ; -/ 9 r em pm Turn Around Time <br /> Received b am pm (Circle Choice) <br /> Relinquished by: am pm 24 Hrs. 48 Hrs. <br /> Received b am PM: — 5 Days 10 Days <br /> am Pm - <br /> Relinquished by: f ' f i , As Contracted i <br /> Received for�aborato ,t . : .CGal•t' w 'L !� , �,�.` , �.UL [./..� �- _ <br /> 'Z`OC4.VSD 6-23-98 <br /> White-Lab Yellow-Project File Pink-C.Q.C. Binder <br />