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CHAIN OF CUSTODY REC D <br /> Ship TO �•' e / Of <br /> Analysis <br /> Atm >Iect Namo <br /> 1-12,)e 15�-OV- C•AOC L Q- Project No <br /> i e i4 Site L.ocation,,5-y-c r euro X-J <br /> r �t1 C/ �� 6J Date /,� S c V <br /> Sample Type � ,� Sample Contsunets X <br /> le ID <br /> Samep <br /> D th Date Time ►- 0 9 REMARKS <br /> aQ <br /> p Water Solid OtherV 0 Vol Na Type Pres <br /> 2-S Ix X '6� S <br /> i <br /> Total Number of Samples Shipped Samplers Signature f, <br /> ignature Company Date Tune <br /> Relinquished b G C.J <br /> Received by 04 <br /> Relinquished b <br /> Received by <br /> Relinquished by <br /> Received by /4 tJ e rc��Q 12 S 5 3 1 /3!4(6 <br /> Special Instructions/Shipment/yErldling/Storale Requirements l µ ENVIRONMENTAL SOLUTIONS,INC. <br /> 2815 Mitchell Drive,Suite 103 <br /> a 7 r 1�rlw��o�""'P� �t� Walnut Creek,CA 94598 <br /> 7� 7 7 (415)935-3294 <br /> ❑ ENVIRONMENTAL SOLUTIONS,INC. <br /> 21 Technology Drive <br /> 27-77300 <br /> 2718 <br /> Please send signed copy with results to the ATTENTION OF "` Irvine' 300 <br /> at the address to the right indicated by an 0 (714)727-7300?2 <br />