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L t 1 I t t t t k t t t t t I t i L <br /> CIIAIN-OF-CUSTODY RECORD <br /> Send Report and Invoice To: <br /> Terrasearch, Inc. (Environmental) Sheet of C-O-C Control No.: <br /> 1580 N.Fourth Street Project Name: fes.,e.,( <br /> San Jose,California 95112-4676 Project No.: - 04) <br /> (408)453-1180 Samplers: <br /> Carrier/Airbill No.: <br /> LABORATORY NAME: 10 Telephone: FAX: <br /> Address: Certificate No.: Contact: <br /> SICNATi1RI;S (Name, ompan at nd Time): <br /> Relinquished By: Received By: 0 11� a { <br /> REQUEST' FOR ANALYSIS <br /> Sample No. Sample Loxalion Date/'Gime Collected Sample Container Preservative REQUESTED ANALYSIS Detection Comment <br /> y lylx n 7ypc/Size l / Limit <br /> tog) B ZLX <br /> 0 <br /> White-Terrasearch Project File Yellow-Terrasearch Field File Pink-Laboratory Copy <br />