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CHAIN OF CUSTODY RECORD <br />S-G SGS North America Inc. <br /> <br />J 1501-A Easl PatapscoA,errue Baltimore, MO 21226 Tel (410) 355-1958 Fax {4101 355-1965 <br />J P O Box 850 Sophia, WV 25921 Tel (304) 255.0422 Fax (3041 255-0417 <br />J 216 Oxmoor Circle Birmingham, AL 35209 Tel- (2051, 942-3120 Fax (205) 942-0914 <br />-15793 MacCorkla Avenue SE Charleston, WV 25304 Tel (304) 925-6631 Fax. (304) 925-8877 <br />-12979 East Center Sheet <br />J 1101 Howard Drive <br />4665 Pans Street, Suite E1-200 <br />J 2804 Hackathorne I-ane <br />J Route 2. Box 162A <br />J 15550 N Lombard - Terminal 5 <br />J 16130 Van Drunen Road <br />Conneaut, OH 44030 <br />Deer Park, TX 77536 <br />Denver- CO 80239 <br />Gillette. WY 82716 <br />Middlesboro, KY 40965 <br />Portland. OR 97203 <br />South Holland, IL 60473 <br />) <br />Tel t440) 224-2261 t=ax r:. ,,%24-2808 <br />Tel ;2811430-1Pt:n Fax (2811.179-49619 <br />T+:l003i_,73.4772 Fax (3(13) 373-4791 <br />Te; (307) 158,2- 71W 7 F ax 1307'1 fnl-7951 <br />lei 1606) 248-420) Fax (5061,245-0044 <br />Tel 1503, 265.5'1,9 S Far i M.3; 285-508F <br />Tel 1708) 331 2900 Fax (708) <br />33a-tl?h0 <br />i , <br />r;IIENT <br />W1N <br />SGS Reference: <br /> <br />PAGE OF <br />CONTACT PHONE NO:(6r <br />) <br />/ <br />g <br />Tt <br />1 l l?'1 Pi?sm air <br /> <br />PRr JEUI SI? E!Pt^JCICHt N o SAMPLE <br />T.PE Vwd <br /> q 11515 <br />( F F: )RTS TO r F? Y <br /> <br /> <br />f <br />p 70 T 6- G <br />N <br />T <br /> <br /> <br />HIP r;;U1 <br /> <br /> <br />Syr !" <br />INVUIf;F_ TO QUOTE # <br /> <br />f o x `23 <br /> <br />II? .O NUMBER <br />OLv4 Og <br />2 A <br /> <br /> <br /> <br />d <br />E <br />GP.AR <br /> <br />LAB NO <br />SAMPLE IDENTIF(CATION <br />DATE <br />TIME <br />MATRIX R <br />S <br /> <br />REMARKS <br /> N F.-5. CEO 01 G <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> a <br />s <br />ollectedI elinquis By-0) Date <br />a. rime <br />!L o Received By: Shipping Carrier: <br /> <br />Shipping Ticket No: Samples Received C6Id^• (Cite! YFS O <br /> <br />Temperature C--_ <br />Relinquished By (2) Date Time Recei-ed By Special Deliveiablt- Requirements' Chain of Custody Sear (Cirrlel <br />INTACT BROKEN ABSENT <br />Rt hnguished By. (3) Date Time Received By: Requested Turnaround Time and Special Instructions: <br />Relinquished By: (4) Date <br />toj?fa4 Time Recei