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i t t t t t t I t t I t t t L t <br /> CHAIN-OF-CUSTODY RECORD <br /> Send Report and Invoice To: <br /> Terrasearch, Inc. (Environmental) Sheet of I C-O-C Control No.: <br /> 1580 N.Fourth Street Project Name: <br /> San Jose,California 95112-4676 Project No.: <br /> (408)453-1180 Samplers: 1 ! ` <br /> 1 / Carrier/Airbill No.: <br /> LABORATORY NAME: r- r" "fir/ �� ("�:(r Telephone: FAX: <br /> Address: f Certificate No.: Contact: <br /> SIGNATURES (Name, Company, Date and Time): <br /> Relinquished By: %/ ) / Received By: 1 '',t?,r)�_ r , !%ry a l <br /> J <br /> j REQUEST' FOR ANALYSIS <br /> Sample No. Sample Lcxallon Date/Time Collected Sample Container 1'reservative REQUESTED ANALYSIS Detection Comment <br /> 'Iype 'type/size Limit <br /> I ; <br /> I <br /> PEL ## 9508051 <br /> INV ## 26251 <br /> 1 <br /> White-Terrasearch Project File Yellow-Terrasearch Field File Pink-Laboratory Copy <br />