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SAMPLE CHAFE F CUSTODY <br /> Remedy, Inc. <br /> Date k hp& 112 Dove Court <br /> Vacaville, CA 95687 <br /> _f <br /> Project Name Telephone (707) 451-6598 <br /> Pc f 2` ) Fax (707) 451-8598 <br /> Project Number n ( 1��I P14- ratory: <br /> Report Results To /" f � � �1�f (510 1a1 -�l51 Name eLa�'I <br /> Sampler Name bsn Ali Address G r—Z �D <br /> Tum Around Time --hr. <br /> Telephone Fax <br /> ANALYSIS REQUESTED <br /> SAMPLEDATE TIME LOCATION SAMPLE S{ZgU COMMENTS-DESCRIPTION-SPECIAL INSTRUCTIONS <br /> NUMBER TYPE <br /> 1 ! Pn W <br /> F S -� I S J xLA, A 1,, 3• <br /> F s - «�3�- a :3 k T e t <br /> hi a 1 .03 e „ r Zr <br /> r <br /> M. lie,1 i s' f X - f 3' <br /> r <br /> E r <br /> 91302 <br /> 90306 <br /> 90303 } <br /> 91307 <br /> Iniad <br /> ryqMOO <br /> 9930 5 ' <br /> r <br /> x <br /> 90309 <br /> SAMPLENQUISH BY SAMPLE RECEIVED BY <br /> Pry Aignature Date Time Print Name S lure Date Tlme <br /> r AV= A,►t eC rzM1M4_f IO / ;I <br /> X11 e �,�t 6 v s z� .0 <br /> UVl'U CUIJD{]'ON � 1 110,14 <br /> l! <br />