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1 <br /> CHAIN OF CUSTODY RECORD <br /> Ship To: royr,R k^ ) page Z of Z Analysis <br /> Atm: E�1u' 7 �Dk' Project Name en24f �O <br /> Project No. <br /> Site Location 1-kfAt&f ISIak'd <br /> Date 514'05 L(� <br /> Sample ID p Date Time Sample Type o Sample Containers <br /> 1 1 Water Solid Other U tJ Vol. No. Type Pres REMARKS <br /> ucdvumf 12 . 12 5/}p I 61 Nc X <br /> 12 <br /> 11 (aL <br /> c <br /> I� x x � I <br /> n71- I G K <br /> r Z x 1(r. <br /> (P x qaA I ric <br /> It X tb I e <br /> Total Number of Samples Shipped: Sampler's Signature: <br /> Signature Company Date Time <br /> Relinquished b <br /> Received b <br /> Relinquished by <br /> Received by <br /> Relinquished by <br /> Received by <br /> Special Instructions/Shipment/Handling/Storage Requirements: ENVIRONMENTAL SOLUTIONS,INC. <br /> 2815 Mitchell Drive,Suite 103 <br /> Walnut Creek,CA 94598 <br /> (415)935-3294 <br /> ❑ ENVIRONMENTAL SOLUTIONS,INC. <br /> 21 Technology Drive <br /> Please send signed copy with results to the ATTENTION OF: 1 Irvine,CA 92718 <br /> at the address to the right indicated by an ® (714)727-7300 <br />