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0 LPA 995 <br /> CHAIN OF CUSTODY RECORD <br /> Ship To C226 Page of / Analysis <br /> Atm Project Name-5�9+�1N <br /> /-1 6Lx0s Project No ''a ' L �O <br /> • Site Location-S)o or -C IV <br /> & TGIv, Date C-2O <br /> (7 3-i3 0 0 <br /> Sample Type � ISampie Contau�e,s � <br /> Sample ID Depth Date Tune water S.H ocher U 0 voi No Type Pres. Q9 REMARKS <br /> Co, y s boyo At <br /> Total Number of Samples Shipped Sampler's Signature <br /> Signature Company Date Time <br /> Relinquished b G. <br /> I <br /> Received b <br /> Relinquished <br /> Received by <br /> Relinquished by <br /> Received by ,t , � 1 (J 3 <br /> Special histructio pment/Handling/Storage Requirements ENVIRONMENTAL SOLUTIONS,INC. <br /> S P — 1 4'y-9� �,K�rl y 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 ATT72 <br /> gENTION OF r %1p Irvine, 92718 1 <br /> at the address to the right indicated by an® (714)727-7300 <br />