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CHAIN OF CUSTODY RECORD <br /> Ship To: Page 4— of 2 Analysis <br /> -Attn: G 1 G b� Project Name . y�00*-"' �Vn <br /> Project No. °l - ZZ 1� <br /> Site Location 40 <br /> Date 9 <br /> Sample Type $ Sample Containers 9 <br /> Sample M e Date Time o ,. <br /> Water Solid Other U 0 Vol. No. Type Pres. REMARKS <br /> 1W-IZ 150140M 11:00 <br /> 13N-13 rP-0 g/8/93 � 0 I <br /> I?:;,il —1(0 5- <br /> PIH - 5.5 <br /> Total Number of Samples Shipped: Sampler's Signature: <br /> Signature Company Date Time <br /> Relinquished b 1(I va 4H01 ")1 3 <br /> '-�C7 .m. <br /> Received b t <br /> ,39 <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 /> \J , S 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 N (714)727-7300 <br />