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+PRoviDTNG <br /> unStar <br /> AIR LABORATORY <br /> Laboratories, Inc. o QUAI.I7Y ANALYTICAI..riFRV10E5 NATION1YIt7F <br /> Chain of Custody Record <br /> 25712 Cammereentre Drive, Lake Forest, CA 92830 � <br /> 949-297-5020 <br /> Client: [` tl' 4uQfy '1' Date: YV;3 Page: Of <br /> Address: k- 07 Project Name: kc66v c 4Zti <br /> Phone: 72y-q[q�i:� Fax: Collector: >s-P, Pyllrr4Client Project#:_�-3 "W04 1 ��-- <br /> Project Manager:_:_ w Batch#: 7Z=265 EDF#: <br /> ❑ <br /> z' ' ❑ ❑ <br /> ° CZ 0 <br /> ❑ [� 3 <br /> mSample Container <br /> Type: Type v m c0 <br /> Soil Gas Summa <br /> Date Start Finish 1 Indoor Can! Initial Final "' r ^ r <br /> Sample ID Sampled Time Time Air Tedlar Pressure Pressure 0 0 0 g ii � Summa Can,Manifold#1 Comments <br /> t S- y fx'4I- 'l -.z n 9-A # <br /> Jzr7 J.a .2 -1 <br /> 13;v¢ 1)-71- <br /> Relinquisjied by:(signature) Date 1 Time Received bye(signature) Date 1 Time Total#of containers Notes f y <br /> fU A Chain of Custody seals !NA �Yl �r <br /> i h d by:[signaiur } Date 1`Time R ceived y: signature) Date!Time Seals intact? Nfto � G�-J x`' � ]7' ' <br /> T `- r Received good condition1cold Vc%j )r 0� t+Cn C ki +l <br /> Relinquished by{signature} Date 1 Time Recei ed by:(signature) Date Time <br /> �1• Z 1 Q Turnaround time: <br /> 'TO.15 SIM analysis available upon prior notification (Precertified Summa cans needed) <br />