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j 0� <br /> CHAIN OF CUSTODY RECORD <br /> Ship To: b Page- - R of ef- Analysis <br /> Attn: Mal }C� m big. Project Name of. S Gk y) <br /> Project No. W-92- <br /> Site <br /> -9ZZSite Location CK iv?l �v <br /> Date— <br /> Sample <br /> ate Sample ID De Date Time Sample Type o Sample Containers <br /> P•YY+ Water Solid Other U C7 Vol. No. I Type P. REMARKS <br /> ttL <br /> -Z 11 1 iv% <br /> -3 0 i a o by . . <br /> �� -4 <br /> date g°c <br /> APR 0 9 199-3- <br /> ��+ t <br /> Bt1—w Ce <br /> (05 <br /> Total Number of Samples Shipped: �� Sampler's Signature: <br /> Signature Company Date Time <br /> Relinquished by /Vflylt�zv 'S61 hkr'i 9 of 3 <br /> Received b / <br /> Relinquished by <br /> Received by <br /> Relinquished by <br /> Received by <br /> Special Instructions/Shipment/Handling/Storage Requirements: ENVIRONMENTAL SOLUTIONS,INC. <br /> 2815 Mitchell Drive,Suite 103 <br /> Walnut Creek,CA 94598 <br /> (415)935-3294 <br /> _ ❑ ENVIRONMENTAL SOLUTIONS,INC. <br /> 21 Technology Drive <br /> Please send signed copy with results to the ATTENTION OF: Irvine,CA 92718 <br /> at the address to the right indicated by an 0 (714)727-7300 <br />