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� r <br /> hain ou dyecord <br /> Date ��7 <br /> -- [] 148 S Vlnewood St, Escondido, CA 92029•ph 760 735 3208•fax 760 735 2469 HPL Project#���� <br /> 432 N Cedros Ave , Solana Beach, CA 92075•ph 858 793 0401 •fax 858 793 0404 <br /> 1.ABi _ 2373 208th Street Unit F-1,Torrance, CA 90501 •ph 310 782 2929•fax 310 782 2798 outside Lab <br /> i <br /> Client SOC r T4 Collector ' s°k- "��d i1 Page Of <br /> Address �O e-�Li ?afA1e L Client Project# � �tl_4rr� Protect Manager Sce rr <br /> �A ,; fWrzGc71 GLf 'jz ,j Location <br /> — Phone �4r177 �Ga`!�. Fax �'�`�'�`� Tum around time ��• <br /> Notes 8260B y Sample Receipt <br /> D b 14W <br /> _ N� Intact Yes ONO <br /> U r N <br /> Seal In ct ❑Yes C7 No d NIA L <br /> aNi iW m Q m <br /> coid Yes ❑No <br /> m m o rn O m <br /> c <br /> a N NIA In <br /> on Site} v <br /> - H d O 9 y m o <br /> O O F Cc: N N G (7 L? <br /> Sample Container = = N N w Q 0 <br /> Sample — Depth Time Date Type Type F m m m o 0 o g Field Notes F <br /> U. <br /> f,'qo <br /> - 1350 <br /> - w- - 1 q30 <br /> 1gg0 <br /> Relinquished by ignature) (company) Re i d by (Si a ) (company) Date Time <br /> Reli utshe y (Signature) (company) Re me b Sign ure) (company) Datd Time <br /> Remgwshed by (Signature) — (company) Received by (Signature) _ (company) Date Time <br /> 'Signature constitutes authorization to proceed with analysis and acceptance of condition on back _ Sample disposal tnstructton Q Disposal @$2 00 each Q Retum to client 0 Pickup <br />