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AT CHAIN OF CUSTODY RECORD <br /> Ship To: Cif 1?0"14 L-1+73 page I of I Analysis <br /> Atm: Project Name <br /> Project No. <br /> Site Location <br /> Date to-2q-4i <br /> Sample ID Depth Date Time Sample Type o Semple ConwinersREMARKS�. <br /> Wamr Solid Other U U vol. N. Type Pres. /`Y /� O <br /> wo7D DEBRIS 'Iz4 4 2 JIL rl )C x X /—'/-A <br /> 5 <br /> j G2055 TleS °�2 X I JIL 91 S Y K <br /> CHROMALAB FILE # 1092288 <br /> ORDER # 0 5 Z— <br /> Total Number of S files Shipped: 3 Sampler's Signature: <br /> i Signature Company Date Time <br /> Relinquished b EST '012T 9 2- <br /> Received b C q t°�z9 <br /> Relinquished by <br /> Received by <br /> Relinquished by <br /> Received by <br /> Special Instructions/Shipment/Handling/Storage Requirements: ENVIRONMENTAL SOLUTIONS,INC. <br /> , I 2815 Mitchell Drive,Suite 103 <br /> 12es� 115 vie ed e d b �C"' Nov. Z Walnut Creek,CA 94598 <br /> S to -(�)935-3294 <br /> l Lbod 6 60rz-,S , ❑ ENVIRONMENTAL SOLUTIONS,INC. <br /> �( r} 21 Technology Drive <br /> Please send signed copy with results to the ATTENTION OF: Je T(' Irvine,CA 92718 <br /> at the address to the right indicated by an 0 (714)727-7300 <br />