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7�qq7 <br /> Tma" lo CHAIN OF CUSTODY RECORD Page of <br /> Environmental and Geotechnical Consultant 555 Montgomery Street,Suite 1300,San Francisco,CA 94111 Ph 415-955.9040!Fax 415.955-9041 <br /> 2 Theatre Square,Suite 215,Qrinda CA 94583 Ph 925-253-49801 Fax 925-2534985 <br /> 501 14th Street,3rd Floor,Oakland.CA 94812 Ph 510-874.45001 Fax 510.874-4507 <br /> Site Name <br /> Job Number 1c7 Analysis Requested' <br /> Project Manager%Con t Via l'1 <br /> Samplers - az <br /> Recorder(Signature Required) No Containers <br /> Matrix &Preservative21 <br /> ' <br /> ;Dat']a <br /> Field Sample �" �a o m u - oIdentification No ime Lab Sample No ae x ? RetTlatkB r {� <br /> _ ca <br /> -c,< t <br /> L� Ir 1ZZ, � u � <br /> -7 <br /> I <br /> _ � <br /> e6L shed y gnature mate Time Rece ped by(Signatu Dab , <br /> r gas b a� <br /> AOL,- <br /> qui ed by (Signature) tate Time _ eceived by (Signature) Date Time <br /> Relinquished by (Signature) Date Time Reaeived by Lab (Signature) Date Time <br /> ___] <br /> Sant to Laboratory(Name) - Method of Shipment Lab couner ElFed Ex DAirbome EIuPS <br /> Laboratory Comments/Notes Hand CameB❑Pnvale Couner(Co Name) <br /> 003318 <br /> White Copy-Original Yellow Copy-Laboratory Pink Copy-Field COC Number <br />