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79(o1,?FqV7— WIV, <br /> Hvc etics <br /> Environmental iien <br /> D(.:J E-* '-3 9 2 6 06/ /96 <br /> Ewn' ' 9 <br /> Airport Corporate Centre - 7677 Oakport Street,Ste. 1150 • Oakland, CA 94621 Chain of Custody <br /> (510)430-2843-FAX.(510)430-9268 <br /> Date Page Ctf <br /> Lab Name C(xeirv-,J6 Analysis Request <br /> Address I).-LO Q V-A"'Yq 40,10 <br /> q145U <br /> Telephone (pla) 4n41`'1a La <br /> 0 . tp <br /> 0 C M 0) <br /> 0 0 0 w <br /> E 0 ca C' M E <br /> 00 C6 0 <br /> CY 0 X . E a <br /> 0 E <br /> Samplers(SIGNATURES) :2 8 <br /> W iO <br /> to u 0 C <br /> E 4 C C 0 X <br /> 26. >0 C�n 0- 0 C.J 0 M CM to OU <br /> 0 0(o 0 2. 2,0 E w > 0 o <br /> 0.Z::� w�- o <br /> (A z U) <br /> -Do 2 <br /> 2 0 0 2 CO— .52 & < T rA = (D :2 .9 C <br /> a �i X �2 a:a 0 z 0 E 10 <br /> .2:" E <br /> Matrix Location !0 Ic a 0 � -60 M 0 z -60 (L U T 0 (.5 0 0,6 0 0 = = W :3 <br /> Sample Number -106 1 R <� w w w E <br /> (L'0 Q.X >0 M 0 F-— i,- 1 20 x cr m 'a'm 6 -LTL 0 a: 0 0 z <br /> X> er, CL <br /> 10LIS, <br /> C16 061 soil (30,"!M /J". <br /> 1*6 01, )t,.,l gowli luo.46 <br /> 016 0 61 r — <br /> 1460 <br /> Project Information Sample Receipt Relinquished I. Relinquished By 2. Relinquished 3. <br /> W — <br /> Project Total No.of Containers . -- 1739 <br /> (Signature) (Ti (Signature) (Time) (Signature) (rime) <br /> Project Director W.C– Hot2.&e Chain of Custody Seals W,11 41114J''j6 <br /> Charge Code No. '1-'-'3 4 r0'0 i Rec'd Good Condition/Cold (Printed Name) ( ate) (Printed Name)� (Date) (Date) <br /> Shipping ID.No. Conforms to Record &L4001010AC4 5-J-5— — — <br /> ICCo ;ny) (Company) 1--'(Company) <br /> Lab No. Received ByZc­ <br /> J., Received By 2. ReceivedBy(Lab t 3. <br /> Via: (Signature) (Time) (Signature) - (Signa <br /> Special Instructions/Comments: <br /> (Printed Name) j (Date) (Date) (Printed Na Date) <br /> (Company) lCompany) (Laboratory) <br />