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Ci.lfleld Environmental-and Compliance CHAIN OF CUSTODY <br /> 307 roomer Way Suite 300,Santa.Maria CA'93454 Highway 33,McKittrick CA <br /> phone: (806)9x1.4772 fax:`(805)925-3376 www.oecusa.com phone: (W)762.9943 Paye of <br /> Company: Project Name/#: <br /> Address: Site:' bid✓ <br /> Ci /Statelzip: ` Analysis requested special Instructions: <br /> C11 1 <br /> Phone: ^ ` fax' E-mefi: <br /> Report To: Sampler w rte" <br /> Send report via- FAX- Q PDF- 0 Coit/LUFT EDF- © EDD- <br /> fQDays-❑ 5Ays-❑ 72hr- 4r 2hr ASAP-171 Time ❑ <br /> I N � <br /> DEC Sample ID S led Matrix Cont , Client Sample ID <br /> 3-V/ i I lz-ZZZK <br /> Sa j ............. ............... ....N......................._. <br /> / .............._...........___.......r..........___,........... <br /> of <br /> a txy��o <br /> s <br /> etinquished i3y «« +» '� � t Date '' Time: ComCa'enta/PO#: <br /> lecehred By. Date: Time: ��✓ +� ' � <br /> elin.%uished�Y:._.,...._.._..........................«. .._._.._._ ......_Date..,.. ..,,_..__ .Time:............. <br /> gecaived.8y:. Date: Time. 1 "� <br /> 3elin wishedy _.. Date: . Time: t1(�( l 1 <br /> .................w......»...............__ ------- <br /> lecelved By, Date: Time: <br />