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ti;iay e u rof i ns CHAIN OF CUSTODY RECORD <br /> woxllAe usE ONLv <br /> Calscience DATE: 06rz3117 <br /> 7440 Dnceln Way,Carries Genre,CA 92841-1427 - (714)895-5494 PAGE: 2 OF 2 <br /> For muder«ervine l sem le nor,aB lnkrount,contact.26 sate. eumfinauacomOrcallus- <br /> 7 — <br /> UBOMTORY CLIENT CLEW PROJECT NAME I NUMBER'. 1.NO.: <br /> Diversifies Mlneals Inc. <br /> ADDRESS OMI OC 06/13117 5674 <br /> '. <br /> 1100 MOunteln View Ave.SuBe F peaEcr colvraor sAMpLEalsr.IPRIIPI <br /> mTr: <br /> Oxnard STAM CA on 93030 Adam Williamson Adam Williamson <br /> TEL E.X <br /> 80"M5168awilliamson(NdmlcemenLcom REQUESTED ANALYSES <br /> TORNAAOUNO TIME(Rush wrNVRp may spur W enyTAT not XMUNFD I: Planes check bas Or fill In )lank as headed. <br /> ❑SAME DAY ❑24 HR ❑48 HR ❑72 HR ❑5 DAYS O STANDARD o 'C <br /> OLOeu Io Loc coos u <br /> [3COELT EDF <br /> edeto <br /> SPECIAL INSTRUCTIONS: f ❑ m <br /> $ E <br /> no <br /> J ❑ @ w a ❑ <br /> U C <br /> R K El m❑ to W ❑ to <br /> In <br /> to <br /> ❑ J <br /> m ❑^ G F w ❑ x 0 A F <br /> U E g m ❑ ❑ N <br /> tae SAMPUND NO. <br /> a se <br /> iE <br /> r r ❑ x w @ n U y m <br /> .OF SAMPLE ID MATRIX OF — S u he O on m j Is do ¢ rH <br /> ONLY DATE TIME CONT - ❑ ❑ r > p d ti li n a r U F s <br /> MPCC Fly Ash 812312017 18:40 s 1 X <br /> MPCC Fly Ash 6=2011 1640 s 0 R <br /> Relinquished by:(Signature) Received by(slgnemrshAMlla0on) <br /> Data Tme: <br /> 6)264201 m <br /> Ralincul.hed by:(signature) Received by,(SoraderelAfflllabor) Dere: 11m.: O <br /> Rellnquchad by:(Simmons) Received by:(SgnalundAlfllllubse) Data: Time: <br /> 0&02114 Revision <br />