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Contact us: <br /> Nevada: 3151 W.Post Road,Las Vegas,NV 59118 <br /> P:702.307.2659 F.702.3072691 <br /> ASSET LABORATORIES CHAIN OF CUSTODY RECORD <br /> Cailtomia:11110Arte0aBlvd.5te.8-iCerritos,CA90703 <br /> n n�.r-p:ausnt;rrr&.i�c.r„rOCrtaVJPClrvIN5.Iarm€=rao,e nes vim P:562.219.7435 F:562.219.7436 <br /> ” ^ Page Of www.assetiaboratories.c0m <br /> CI}e Report to: Bill to: <br /> �,,.; � <br /> EDp Requirem&nf..�., CA70C :Sarnpe Receipt Condition <br /> Address: Company:.. - Address: - <br /> ��'`` f� -Excel app _ - -.R7NE <br /> E "rte. .:� '' : � Seotraac8, �RN1QGb � ❑ t.Ch�led Q, <br /> Addreaw Email: <br /> C7ra- <br /> ns bspec lieaaspace Q .Cl <br /> Others ❑ Leven ill 3:tonieiner intact ❑: <br /> Phone: Faw Address. Email to: <br /> - PON Specify:Specify: .LES/EL N ❑ 41 Sea!Present�. <br /> y -;470 �� Rquiatwy © 5�1R nurs er <br /> Submitted ay: Phone: Fax: Global ifl: Specify Slate: g, of <br /> ;doe, r,, ...- cooling te- <br /> TRW Phone: VFax: Sample Temp: <br /> Matrix Analyses Requested d <br /> � 9 <br /> Signature: pate: Semplar°a Signature and lata! Ground Q seoimeM <br /> w""°�-•-•-.. j, potable © sat Courier_ <br /> 1 hevehy out- e ASSET Lalzs[o perform the feats <br /> Jndk.N. befow: <br /> Project Name: � � � �. NPpES © Olhrer © m O <br /> t f l'"�� 5osd E � Tracking No. <br /> !tti S < <br /> F 1 etFasf to!h9 B1i0'7�and au lict7y t's sarr�le.f am&warn <br /> that Ped Surf © ` a 3 1' <br /> .EL t ;„a ,a wiNr ormterriionall misfabali fhe sa klnceHon,data w 6"otcoilac(ron is <br /> ( '"C cams dared fiaud and may be grounds lortngai acdon Q N <br /> Project Number: sampler's Name: ,t rE 8 IL. <br /> g y <br /> 5. <br /> itertt Laboratory Work Order No. Satttiale lAfl ocali a bate Tarte water Solid Others Remarks <br /> No. <br /> N023518 - 57 J #% � $ <br /> - 58 <br /> 3 - 59 F I <br /> - 60 3 <br /> - 61 <br /> 6 <br /> 7 <br /> t3 <br /> 9 <br /> 10 <br /> Relinquished SI ature and Printed Nam fate r Tine Recti ): Turn Around Time(TAT) Special instruction: <br /> q by 1 9^ ): � f5lgr;atvre nMed Narree t Y�pate 17im& �y, <br /> LJ V ❑A < 24 Hrs or Same Day TAT <br /> ❑B = Next WDrkday <br /> Reiinwis by't5tgnaturc and P riled Na 0ate 1 Tnne Received by(Signature and Printed Name): r Date f Time <br /> (J ©G = 2 Workdays <br /> G 4/y//� • l4 ❑D = 3 Workdays <br /> Relinquished by{Signature and Printed Nam): Slate f Time R "vwi by(Signature and Pd a Date Tune <br /> ❑E = RouVne 5-7 Workdays <br /> TAT starts at a AM the feilowiing day If <br /> samples received after 340 Pm. <br /> Terms 5.nm al-k,.,d Epugr €al.okr.r.bni.bi.s.�+�esR Prasatvetivae ConfailaT e: <br /> 1.AI—W..will bedk"Mr4 dap"­Jr,.aed.rM d9xMlhe dnehvyeA in 5,e­autannaa�arrm�lewn. 5.ASS[Tt bontwhs M rwt/eeporteib mr r.'my3assWlevrzd efiyt eymrrtcimHhn4�oxV <br /> z.r€m€wb:rnr;ks�rw,;,„a.r,nA�€i.rserwai.nWvmrra+l...H.a 7_r—.ar ids C.y_ H.-1la..........N=11NOs.....5=M25O4. C-4"C IT=TUIie IV=VOA IA.-Pinf.. <br /> ^_re.�maR xa ler,=zoox uaet€€sy_.iaax zwarwe€�«yox, aw.�€<e.v,�ass€ +wukdeys pxma a-os Zoon:«re,ubm�ned re,ai.,raaEsarmax.n...emr=,maser€ „r.i�aaesati.=a«wv�,r..r,«.:,.«�d,a. 2=Z1(AC32- 0=Na0H tT=NazSwM I IJ=Jar IB=Tediar IG=Glass <br />