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r lei,—r it L-�* <br /> CHAIN OF CUSTODY RECORD <br /> ShipToCAL-10N, 69e Page of Analysis <br /> Atte Project Name <br /> Project No <br /> e Site Location.c�'cr.S"%'o.� � P <br /> C' c%sc Date <br /> O Sample Type Sample Contamers <br /> Sample ID Depth Date Time o �, REMARKS <br /> Water Sohl Other U 0 vol N- 'lope Pres. <br /> 2-yds 0 Zo <br /> Total Number of Samples Shipped Sampler's Signature G <br /> 5 tore /&mpany 1 Date Time <br /> Relinquished b C— <br /> Received b <br /> Relinquished y <br /> Recetved by <br /> Relinquished by <br /> Receiv by <br /> Special Instructs ns/Shipment/Handling 1 Storage Requuemen ENVIRONMENTAL SOLUTIONS,INC. <br /> 2815 Mitchell Drive,Suite 103 <br /> q giw sw�7�11 / Walnut Geek,CA 94598 <br /> A <br /> f (415}935-329G <br /> PfiG�� (��, t F e��5 ''�7 ❑ ENVIRONMENTAL SOLUTIONS,INC. <br /> 21 Technology Drive <br /> Please send signed copy with results to the ATTENTION C CA 92718 <br /> at the address to the right indicated by an 0 (714)727-7300 <br />