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t <br /> EMAIL,INC <br /> 7949 A)ay Drive <br /> _-- - Sun Valley,CA 91352 <br /> (818)767-?.222 <br /> CHAIN OF CUSTODY RECORD <br /> i <br /> 1 -Contact PeesonlPra ject Manages T <br /> i <br /> -- �q2L [A� Page �of Lb Nambe>[s) <br /> - - 3. Client Name do Address n ) t1 Analyses Rewinw <br /> -- -Z- 2v-,JQ <br /> - 4. Site Name k Address <br /> l�IZ Y-0-UMA , 0 <br /> _ 5 Sample Description. Sod ❑ Wastewater Groundwater Other <br /> _ - B. i 0. IL IG. 11 12 'Y <br /> lab Row No Dee Time Type Preservative SampleGescriptbn1Samplinglocation No.of a1� � 5l 14. <br /> No, sempied sampied Composite containers PAMAIM <br /> or Grab ktiVf �O` <br /> --- _ ( t 30 G ACT Grvow Z <br /> Af W,3 <br /> z' �S <br /> 2-1 <br /> r� ' S <br /> _ Condition of Receipt(Describe) <br /> - Signature Company Date Time <br /> 1.4 Sampled b <br /> � 3C.) <br /> - - Rellnclulehed by <br /> Received by 00 <br /> - — Relinrluwhed by <br /> a a <br /> _ Received by <br /> Note: --Samples are discarded 30 days after results are reported unless other arrangements are made Hazardous samples will be returned to client or disposed of at client's expense. <br /> I - <br />