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CHAIN OF CUSTODY RECORD <br /> Ship To ,n on l 5 Page of 9 <br /> Analysis <br /> Atm Project Name _ <br /> 21a- Frank Circje- Project No 4701 f5c9Q <br /> ►.t rhe A Site Location J P <br /> Date 11 <br /> /3 D 4� <br /> Sample Type � � Sample Coatauters <br /> Sample ID Depth Date Tune c REMARKS <br /> Water Solid Other U v Vol Na Type Pres. <br /> T— L 1t 16. X X Ix 5-,Z::660A <br /> - C- Vlo J z 00 1 <br /> i <br /> Total Number of Samples Shipped Sampler's Signature <br /> Signator Company Date Time <br /> Relinquished b <br /> Received b <br /> Relinquished by <br /> Received by <br /> Relinquished by <br /> Received by A^frat" ,. //- s�y J 12, 00 <br /> Special Instru dons/Shi ent/Handling/Storage Requirements ENVIRONMENTAL SOLUTIONS,INC. <br /> �t_ 2815 Mitchell Drive,Suite 103 <br /> 4p�G��/T <br /> Walnut Creek,CA 94598 <br /> L(A (415)935-3294 <br /> ❑ ENVIRONMENTAL SOLUTIONS,INC. <br /> e 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 H (714)727-7300 <br />