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CFIROMALAD FILE #Y 19=5 <br /> ORDER If <br /> CHAIN OF CUSTODY RECORD 102-79 <br /> ShipTo: Page 1 of / .--,...- <br /> Atn:— �y CDo�C Project NameOruloact 0/40-1 <br /> Project No. 9 Z— -727 <br /> Site Location 6 b� <br /> Date /Z—ZZ.)---7 9 �� o' <br /> • ao U a A� y <br /> Sample Type a p Sample Containers <br /> Sample ID Depth Date Time o ° N�ti �� N \V REMARKS <br /> Water Solid Other V V Vol. No. Type Pres <br /> X x 80ZI2 16 Iffmxlxl <br /> �4 rbu+ o-Y" be 7— .4 x 11� <br /> I <br /> 4,03 /Zed Xya,,l 3 VOA btl <br /> 4/— 3/Z :lS /Lir IVa <br /> Ot) P ( ot'-- <br /> n Az <br /> 5 ( S - REDO -STC-c Lea,, <br /> 4-11 <br /> 4 Ent� 13a ti-o <br /> L O r,(S (DU 4d <br /> Total Number of Samples Shipped: Sampler's Signature: G-Qc L z <br /> P <br /> Signature _ Company Date Time <br /> Relin uished <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 /> /1 �lsll Z �7i 7c[rn_a��s� ()935-3294 <br /> / ❑ ENVIRONME SOLUTIONS,INC. <br /> 21 Technology Drive <br /> Please send signed copy with results y the ATTENTION OF: i /'Ct N Irvine,CA 92718 <br /> at the address to the right indicated by an® (714)727-7300 <br />