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Epigent- International �L�q <br /> CHAIN OF CUSTODY <br /> CONSULTING GEOLOGISTS <br /> 38750 Paseo Padre Parkway, Suite B-4 <br /> Laboratory: Fremont, California, 94536 <br /> Business: (510) 791-1986 FAX: (510) 791-3306 <br /> t: ;J Sampler: •_] t,, X71.1 <br /> (/ Y4y `( / Project Name:l"Z-)- L"LS /l�•mr ��LC. S�rzk. ,pyo. (/- 06 <br /> Contact: Iia-. F-'rx. --1 n,��a.C, Datc: (-�� 1-,. � [1c 1( <br /> Analyses Requested <br /> _ / "v,v,ro.� lw..., o-e. /��'c� jC�,.��i ✓i G,A.'1 Off` •`., yiee O^ Ory A �N N <br /> N rya\%n y -(r•�nrl ) nc c c r � lr (O6� 0 •(r4 Q\ ,0 \O u /j., <br /> Sample I.D. Data/Time Matrix Container Lab. t Qa`G �Q60ti 60 �ati �O !� Comments <br /> Sampled Desc. No, of Type 'C <br /> \x/ � l Z_ <br /> 2.5 <br /> 3. Z 7' i0 "1j y. �( X I <br /> 4. 1'r-1 K I r <br /> G. <br /> 7.• <br /> 8. <br /> D. <br /> 10. I J <br /> Relinquished by2• ) '� �,li�{ Dato: 7 r� �; T i me: Be e e l v o d by: 6-X-oq Data:-Z- l Tlme:ID,0,p <br /> Relinquished by: Date: Time: Recelved by: / Date:�5 Time: ,g/r <br /> Relinquished by: Dale: Time: Recelved by: Date: Time: <br /> Turnaround Tlme: n\ i•� \���, <br /> Additional ,1/'__ \-tr 'r.Qa (--t'r7•�\h l-\-M r L��' (• �\*�. � 1�w1' I��' •( �� _ ('(9 . ' �Lne= 1�3, Ni c�ZC <br /> Comments:• ,�,w.l -a�tn,,..dY�..-,,:r• �.�. -/./ /,�- i�r r ?, .('•._.�: nr.,T,-..-- 7 ( 7 t -5� er; Il; r,.. Page of <br />