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CHAIN OF CUSTODY RECORD <br />SGS North America Inc. <br />01501-A East Patapsco Avenue Baltimore, MD 21225 Tel: (410) 355-1958 Fax: (410) 355.1965 <br />0 P.O. Box 850 Sophia, WV 25921 Tel: (304) 255-0422 Fax: (304) 255-0417 <br />0 216 Oxmoor Circle Birmingham, AL 35209 Tel: (205) 942-3120 Fax; (205) 942-0914 <br />0 5793 MacCorlde Avenue SE Charleston, WV 25304 Tel: (304) 925.6631 Fax: (304) 925-8877 <br />n <br /> <br />0 2979 East Center Street Conneaut, OH 44030 Tel: (440) 224-2261 Fax: (440) 224.2808 <br />0 1101 Howard Drive Dear Park, TX 77538 Tel: (281) 930-1919 Fax: (281) 479.4969 <br />0 4665 Paris Street, Suite B-200 Denver, CO 80239 Tel: (303) 373-4772 Fax: (303) 373-4791 <br />0 2804 Hackethome Lane Gillette, WY 82716 Tel: (307) 682-7917 Fax. (307) 682-7951 <br />0 Route 2, Box 162A Middlesboro, KY40965 Tel: (606) 2484205 Fax: (606) 248-0044 <br />0 15550 N. Lombard - Terminal 5 Portland, OR 97203 Tel: (503) 285-5905 Fax: (503) 2855086 <br />0 16130 Van Drunen Road South Holland. IL 60473 Tel: (7081331-290() Fm- 17nA1 231-anFn <br />CLIENT L4> SGS Reference: <br /> <br />CONTACT-T' PHONE NO4470) g6 5'j <br />n ? PAGE w?OF__4_ <br />/ <br /> <br />PROJECT. <br />SITElPWSIIX.- <br />No <br />sYPLE <br />TYPE Pmu" <br /> <br />Ural <br /> i <br />A <br />l <br />REPORTS T0: / <br />X {? ?• <br />bb <br />NoaALt7 AX NO.:( O) (a Z I&S <br />0 <br /> <br />T <br />C= <br />COMP na <br />ys <br />s <br />Required <br />% <br />3 4 <br />INVOICE TO: QUOTE X- <br />2 P.O. NUMBER: A I <br />E GRAS <br /> <br />LAB NO. <br />SAMPLE IDENTIFICATION <br />DATE <br />TIME <br />MATRIX R <br />S iQ <br />N <br />REMARKS <br /> N W15 .03, t 11 sw G <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />5 <br /> <br />.Collected ad <br />Date <br />Time 4 <br />Received By: <br />Shipping Carrier: <br />Shipping Ticket No: <br />Samples Received Cold? (Circl Ys 0 <br />Temperature C: F <br />Relinquished By: (2) Date Time Received By. Special Deliverable Requirements: _Ghahro Cusftody Seal: (Circle) <br />INTACT BROKEN ABSENT <br />Relinquished By: (3) Date Time Received By: Requested Turnaround Time and Special Instructions: <br />Relinquished By: (4) <br />ono r.-.r- a...•oin? to Time Re ive By: A <br />.. .. ..... _.. . <br />'-a-.. p?l...w?•1 „bh p.-A piny. pdsiwr/ Mr Cen.nb.