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NIB, rip/ 61111In all =III NIB • MIMI MINI NMI NM NIB MO SIMI gatill OM <br /> SAMPLE CHAIN OF CUSTODY HE• ar liroll•in <br /> • SAMPLERS(signcz Wage# a_ or <br /> Send Report,To -rim P1=� i° .� �M:—_ TURNAROUND TIME <br /> PROJECT N_AM"1O. PO# y.4'Standard(2 Weeks) <br /> Company Altl i n �' / e4r66g7A 0 RUSH <br /> Address 1 / A 1 ( AL�t�y� J G�, Rush charges authorised by: <br /> City, State, Zi P k ik kAgi)/ lk 110 33 REMARKS �l fGeLJ".57 Gz,2,e. .. SAMPLE DISPOSAL <br /> y��.� `� [445is oso after 30 days <br /> Phone# (ed 9-?^7Ve #��'"e5/YtZ7"-- °�'T 6Aky / (e>14 41►'l�C.tr '�. t $'8jq Alt. fl Return samplas <br /> ax fl �Vill call with instructions <br /> ANALYSES REQUESTED <br /> /U - Q rm x <br /> - Lab late Time #of N x >. ?• e� <br /> Sample II) Sample Type a R .� a -- 1 Notes <br /> ID •Saupled Sampled containers = - X g2 a ... _a. <br /> c a r p O <br /> E. a ? c <br /> .5—' 19 E // d51 8:S7 5 fL. .-.C- A x <br /> Ei5.--0, '1 , c\1 <br /> 6 3.- -7 ^3 iq <br /> 16, <br /> E-13 75-1-i-o 4-b /i/-57? / , -5-- 4 k x . . . <br /> , :i3'5-75-7 17-.. <br /> t E- -5/5"-6 ' ,61 g • 1Z;Vi <br /> - -03 -C75,1 iti e <br /> � Z) W . <br /> E �s l l��� 10 . . <br /> Friedman&13ruya, Inc. SIGNATURE PRINT NAME: COMPANY ' DATE TIME <br /> .301216t1t Avenue West Relinq '• d b• <br /> �/i n / E-4- ( /z(en ,�S <br /> I T ;F.cJ � l <br /> Seattle, WA 98119•2029 R n/1.,'C�`..e 1 �`Is i �/e M L I l <br /> Ph. (206) 285-8282 Relinquished b: 11 <br /> 1 . <br /> FaX(206)283-5044 Received by: �• <br /> FORMS Sar i�:�-,... ►e : °C .. <br />