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t t i t t t i t 1� t t t t 1 t 1 f t <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: �", cl/ <br /> San Jose,California 95112-4676 Project No.: 0-7, j <br /> (408)453-1180 Samplers: - <br /> ' Carrier/Airbill No.: <br /> LABORATORY NAME: �� � Z�• Telephone: FAX: <br /> Address: Certificate No.: Contact: <br /> SIGNATURES (Name, Company, Date and Time): / /Z <br /> Relinquished Byt ti / �-t.,' �( °� 11�Received By: ( �/� <br /> /d =,f"S <br /> REQUEST FOR ANALYSIS <br /> Sample No. Sample Loealion Date/Time Collecicd Sample Container Preservative ItEQUESTED ANALYSIS Detection Comment <br /> ll (� 'lylw 'lypc/Sizc I Limit <br /> White-Terrasearch Project File Yellow-Terrasearch Field File Pink-Laboratory Copy <br />