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DeMenno/ Kerdoon Chain of Custody <br /> 'Rgcvcbne r <br /> Fcr A Cleaner Erviron :enl <br /> —` 2000 Nate: Alameda Street 1 Compton , Cis 90222 <br /> -- --- !31 C; 537.71 CC, Fax : 1310',. 639-2946 <br /> Clientr —, _ Contact : Tel . - r Fax : <br /> Aaress � , � City : State G� Zip Code : .52_ <br /> Project Name : ylkSamplers} Signature : . <br /> Project Manager ; �" r ,� Approved By : <br /> , f - <br /> Due Date ( Regular [::i Rush Days Comments : <br /> Lab Date Time No . of <br /> Sample Description ID Collected Matrix i Containers Analysis Requested <br /> Zvi <br /> 44/1 <br /> lot <br /> air /; <br /> Samole Conditions : Seal ❑ In act Broken None ; Temperature ❑ Cold ❑ Room ; Other _ <br /> Received b (signature) yDatefTime <br /> Relin tuisnea by ( Signature) tic( Y ( "9 ) - <br /> Relmquahed by ( signature ) Received by (signature) � Date/Time �'( '� r�p <br /> Relinquished by ( Signature) Received by (signature) Date/Time _ <br /> SPECIAL INSTRUCTIONS t �r � <br /> RITE C Y—Cli it PIN OPY — Courier Page -- of <br />