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CHAIN OF CUST41DY FORM Page--�-of I <br /> • <br /> Curtis & Tompkins, Ltd. Analyses <br /> Analytical Laboratory Since 1878 C&T 16 <br /> WO <br /> 2323 Fifth Street LOGIN # �1 <br /> Berkeley, CA 94710 <br /> (510)486-0900 Phone [ _ - p - <br /> (510)486-0532 Fax Sampler: c4 Rgo v� - a <br /> Project No Q -(�, ( �� Report To: {/pn R l Q tan <br /> ie <br /> ProjectName- Gcrhe.5 Company : C,-, <br /> N <br /> Project P.O.- Telephone: !(b a33 a -o Z <br /> Turnaround Time: -5 9- Fax: a3�J 3 <br /> Matrix Preservative <br /> Sampling _ m m J O M <br /> Laboratory c % N #of v Uy O w Field Notes <br /> Number Sample ID. Date Containers 2 = _ <br /> Time <br /> t � l <br /> 0 <br /> O M 0 <br /> LL L <br /> 0 <br /> Re 118tzz 7- <br /> bin <br /> J <br /> Notes- RELINQUISHED BY: RECEIVED BY: <br /> MlEffkicvIM D <br /> DATFIFIME DATEITIME <br /> DATEMME DATE/TIME <br /> Signature <br />