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CHAIN OF USTODY <br /> Remedy, Inc. <br /> Date - i 3 - 9 g 38053 Davy Ct , Fremont, CA 94536 <br /> Protect Name Fira NIc5 0vu S Telephone/FAX (510) 791-7157 <br /> Protect Number r Laboratory <br /> Report Results To _- Name _ M c Ca w•pbt! I _ -tin Wr_I <br /> Sampler Name o Address 2,d kv,- S P-eW c a CA <br /> Turn Around Time s7x Telephone sio-y 4 k-I6 2 o Fax v o- 79 p-1621. <br /> ANALYSIS REQUESTED <br /> SAMPLE DATE TIME LOCATION SAMPLEb COMMENTS-DESCRIPTION-SPECIAL INSTRUCTIONS <br /> NUMBER TYPE -� a- �(�ix g O <br /> 8- It. 33' S-13 91 tZ.q,5 B- 11 S ox d-- -M4eX a I I S.ti �6n <br /> WAS ON METALS1 OTHER <br /> Umv <br /> anon AP <br /> HEAD Siti <br /> SAMPLE RELINQUISHED BY SAMPLE RECEIVED BY <br /> Pnnt Name Signature Date Time Print Name S nature Date Time <br /> -I ct pr IVA C r Z:1 <br />