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Contact us: <br /> Nevada:.3151W.Post.Road,L.as:Yegas,NV:813118 <br /> P:-702.307.2559 P 702 3072691 <br /> ASSET LABORATORIES WW.W.W CHAIN OF CUSTODY RECORD Callfornta:11110 Art isia 8lvclSte 8 Cerritos,CA 90703 <br /> anis;:ar�n.suPn�l:rsr•rvrctsrn€zr:>avjaorl^ni:rasarrrrr+Not.nr:,�ss P:562.219.7435 F.562.219.7436 <br /> FT <br /> W NLW.assatiaboratodes.com <br /> Page of <br /> CE€ant: Report Eo: 6111 ta: <br /> cVie— <br /> Address, <br /> Serdps Receipt Condition <br /> FDDRequirament -. flJUS'tC <br /> ,Address - Irompany: - Addrsas: . . Excel ELiO 3V RTlSE Y <br /> _ g <br /> d ,tf414 r Y Geovacker Rwacs ❑ 1.cmied <br /> Address � - ��� Email: - Lahsper-: ❑ QalTrans- © 2.}IeadsPam ❑_ ❑ <br /> Others 0 .�.1_eYEl til - ❑ 3.:CAfltafFler lnrEc.[,. <br /> l€hnna. Fix: Address: Entail ta: PON specity. LEVEL fV © 4.seal Present: ❑ . <br /> L.� t JA p� Reguaa[o5.Rnunner t <br /> SubmittedEly: ' <br /> Phone: Fax: Global ID: Specify state: 6::Methad of '"�f� <br /> Tdtle; Phone: Fax: Semple Temp: <br /> e- :L Matrix <br /> Requested <br /> Sfghahfre: pate: Sampler's signature and DaW t <br /> Ground El9stHmars ❑ <br /> Goutier: <br /> r hereby authorizM[dSSET Labs to per/arm[he tests 7rrctkafaxt halals,;SSS.��� 9 /pS pa'�°- _j •:. ""`14f!E ❑ Other Q <br /> 64W <br /> Project bare: MPDES k9w © � Trad<ngNo. <br /> t _ !attest to Nt <br /> A ev .atrdfry aml surhenfiraTy ald€m sarrxlFa lam swam Phar fampanry <br /> Surf— <br /> with <br /> urface <br /> _ w;th or natty mrg7arreung Me sample rocstlon,tlara w N,re a1 conectirrrll k <br /> 8 r sideredfmud mid my be groundslortegel avian, <br /> project Number: <br /> item LaboratoryWork Order.No. Sample1L71Location Date Time T'later Solid Others : Remarks <br /> ... ... :: <br /> N023518 - 01 Aw OFR` i <br /> - 02 <br /> 3 - 03 - 1 <br /> 4 <br /> - 04 _ � _ <br /> - 05 <br /> 8 : - 06 � <br /> - 07 <br /> 8 - 08 <br /> - 09 <br /> o - 10 <br /> Reiinqumhed by jSignaiwe and Printed Name): Date f Tkme Received - Name): D e f Tame Tum Around Time.(TAT) Special matructinh: <br /> . "��g / }�, j � y ❑A< 24 Nr5 or San3e Day TAT <br /> r„,FY b J/€e /7 °K� . C) <br /> Reiittlguia by(Signature and Prirkad Na"):. i7ate J Time y re 7 <br /> and Printed Name}: 13ate�lTimey.. ©s = Wprkday <br /> Q G = 2 Workdays <br /> v ❑D = 3 Workdays <br /> -Relingwshed by(9ignature and Printed Name): Date/Til 'ved by(Sipature and PriName): Data TimeL7 E =.Routine5 7 Workdays <br /> .TAT Stw”at:8 AIN thsinihav4'1ng day if <br /> sanylas+srx[reet e�a:av pkt. <br /> Terms Preservatives: C*ntainer Type: <br /> 1.A71feimPl +fl be.q'epvfM n4Stlevs upn ern,Pr drasardswig bcaeNerrye'din5yeersrryas subrnkslonufHmErupori. 6.ASSESlehmnreiiesx nrrreespnmit�e4arxarnpleardfertsd using incpryay€merhedPtPgy. - <br /> za�id,iMsAn:Srh�.t�:am+:w�arB�dwllieWrlaiiriaran:ryeia r-r�em+n,Grrr=aaoan. Ft"-HGt `N=FINZYi Is= a4 C=4°G T-Trifle V=VOA.. P=Pln4 <br /> €r,:s than y<xre=ac�ifc tee dn.y=ia7c 2W,,kda -suvi awo,harr4=as96 nWwkd--M a.rgr�yom+r�a�emie..dr,.lPurokfrm.€.rra�inhnn,Amml lals«aerorih91—d rmrnrrePen it rte wed. Zr,Zn(AC)r R=NagN T=Na2S203 .3=3at' 8=Tediar G=Glass <br /> 3.cue[nin[nn fmmses wenn.an aaair€onaE lM alalia rtxa:aroieamke. _ ..._ .. .., <br />