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i i • <br /> TreadwdEMlo CHAIN OF CUSTODY RECORD Page_of_ <br /> Environmental and Geotechnical Consultant 555 Montgomery Street,Suite 1300,San Francisco,CA 94911 Ph 415 955 9040/Fax 415 955 9041 <br /> 2 Theatre Square,Suite 216,Orinda CA 94563 Ph 925 253 4980/Fax 925 253 4985 <br /> 501 14th Street,Third Floor,Oakland CA 94512 Ph 510 874 4500/Fax 510 8T4 4507 <br /> Site Name <br /> Job Number Analysis Requested Turnaround <br /> Project Managerk ontact 7Thne <br /> Samplers a <br /> Recorder(Signature Required) No Containers <br /> �o <br /> MatnT &Preservative <br /> (D co " <br /> Field Sample t —1100 r <br /> 0 :2Identification No Date Time Lab Sample No O - = O fi Remari s <br /> Relinquished by (Signature) Date Time Received by (Signature) Date Time <br /> Relinquished by (Signature) Date Time Received by (Signature) Date Time <br /> Relinquished by (Signature) Date Time Received by Lab (Signature) Date Time <br /> Sent to Laboratory(Name) Method of Shipment ElLab couner Fed Ex ElAirbome OUPS <br /> Laboratory Comments/Notes E]Hand CamedE]Pnvate Couner(Co Name) <br /> White Copy-Original Yellow Copy-Laboratory Pink Copy-Field COC Number 1010 <br />