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.Fi{IOMALAI3 FILE #I: 330- -' <br /> Ship To: CHAIN OF CUSTODY RECORD ORDER 'lk <br /> Attn: Page I of--L _ <br /> Project Name tL . e,.L_ ISSI= Analysis <br /> Project No. <br /> Site Location 4 <br /> o „Q <br /> Date <br /> Sample ID De Sample Type <br /> a / U <br /> P Dale Time Sample Containers ^v <br /> Water Solid Other `' <br /> U U Vol. No. Type Pres <br /> N REMARKS <br /> #C <br /> � „ Y <br /> x <br /> F `�3 n K <br /> 5 cue i �F- X x x <br /> G„ <br /> Total Number of Samples Shipped: 7 <br /> Sampler's Signature: j Q� <br /> Relinquished b Signature <br /> —� <br /> Received b Company Date <br /> S/ Time <br /> Relinquished by a y,3^ <br /> Received by 6 <br /> Relinquished by <br /> Received by <br /> Special Instructions/Shipment/Handling/Storage Requirements: <br /> -d- )-/)Z/53 ENVIRONMENTAL SOLUTIONS,INC. <br /> H-Y)rrz,�o�,- 2815 Mitchell Drive,Suite 103 <br /> S Walnut Creek,CA 94598 <br /> (415)935-3294 <br /> Please send signed copy with results to the A ^t -S ENVIRONMENTAL SOLUTIONS,INC. <br /> at the address to the right indicated by an m ATTENTION OF: ' 1 -- S 21 Technology Drive <br /> Irvine,CA 92718 <br /> (714) 727-7300 <br />