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alsdence 7440 LINCOLN WAY AIR CHAIN OF CUSTODY RECORD <br /> nvironmental GARDEN GROVE,CA 92841-1427 DATE: <br /> 1.ahoratorles,Inc TEL:(714)895-5494 FAX:(714)894-7501 PAGE: / OF J <br /> LABORATORY—CLIENT a+ CLIENT JE E/NUMBER: C1;), _0 P.O.NO.: <br /> ATbss: �j PRO ADDRESS: / �,/) <br /> (� (� LAB CONTACT OR QUOTE NO. <br /> CITY: STATE: 5 /2 CITY: S TE: ZIP: <br /> oiLAB USE ONLY <br /> PROJECT NT T: /)n _ ❑ 11 ISIEl <br /> TURNAROUND TIME: SAMPLER(S): NAME/SIGNATURES ��(�! <br /> ❑SAME DAY ❑24 HR ❑48 HR ❑72 HR ❑5 DAYS 10 DAYS (�Jl�CLv REQUESTED ANALYSES <br /> SPECIAL REQUIREMENTS(ADDITIONAL COSTS MAY APPLY) <br /> EDD <br /> SPECIAL INSTRUCTIONS:, P CIA&Q�(�,/ 8CAE t + W—/ <br /> WnbjoI:S± (zA I Q,EC C'j, (io--/, <br /> Air Type Sampling Egtplpmani - Start.Sampling Information Stop,Sampling Information r <br /> LAR (I) Indoor Canister Flow Canister Canister <br /> USE FIELD ID/ (SV) Soil Vap. Canister Size Controller Time Pressure Time Pressure <br /> ONLY SAMPLE ID Point of Collection (A)Ambient ID# 61-or IL ID# Date (24 hr clock) ('H9) Date (24 hr clock) ("Hg) It <br /> .2 2A CW2 <br /> 3 -P4 /Z10 —. <br /> 5 L X23 /LZ 10 <br /> - <br /> 9,11 <br /> - . <br /> 7' 7A- GFGy7'— .Sj <br /> - sZ _ 9� <br /> 9 <br /> 10 —. <br /> 12 <br /> 13 <br /> 14. <br /> ReUnqul d b :(Signature Received by(Signature) D / Time: 21 <br /> _ J <br /> fEd <br /> Relinquished ( ign�`e) Received by'.(Signature Date ` Time: <br /> ed-0C <br /> Relinquished by:(Signature) Rece d by:(Signature) Date: aim Time: <br /> DISTRIBUTION:White with final report,Green and Yellow to Client. 12101/19 Revision <br /> Please note that pages 1 and 2 of 2 of ourT/Cs are printed on the reverse side of the Green and Yellow copies respectively. <br />