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+PRov <br /> unStar <br /> AIR LABORATORY <br /> Laboratories, Inc. <br /> 1I3ING QUAL,TTY ANALY'TICAl.SERVICES NAnoNWInF � <br /> T <br /> Chain of Custody Record <br /> 25712 Cammercentre Drive, Lake Forest, CA 92630 <br /> ll __ 949-297-5020 <br /> Client: C TI'4U' J" `. Date: YV;3 Page: Of <br /> Address: k• 07 Project Name: �cw&d,--4 RreA <br /> Phone:7 Y-glq:446 Fax: Collector: H,/Vw t•P, ryvrc.5 Client Project#:_2-3 <br /> Project Manager: �_ 1 201-1 c.. Batch#: EDF#: <br /> ❑ <br /> 2�1 ' ❑ ❑ <br /> ° CL c) <br /> m � <br /> m Sample Container H <br /> to <br /> Type: Type; v n m c� <br /> Soil Gas Summa , <br /> Date Start Finish 1 Indoor Can! Initial Final °? r <br /> Sample ID Sampled Time Time Air Tedlar Pressure Pressure g ii Summa Can,Manifold#1 Comments <br /> t f j U,4 7- 3= —Z A 9-A At k9L11 <br /> I a:r7 1) <br /> Relin ui by:(signature). Date 1 Time Received by (signature) Date I Time Total <br /> Total#of containers (Votes <br /> 6 01 � �U � ICAO Chain of Custody seals !NA <br /> tp= <br /> natur } Date 1 Time R ceived y: signature] Date 1 Time Seals intact�NIINA <br /> Received good conditionlcold ��� I d-QL15/ i6ly f c kkW kA— <br /> Relinquished by (signature) Date 1 Time Recei ed by:(signature) Date 1 Time <br /> • 00 Turn around <br /> 'TO.15 SIM analysis available upon prior notification.(Precertified Summa cans needed) <br />