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i <br /> a' <br /> CHAIN OF CUSTODY RECORD � BC Log Number <br /> Dant name Pr ecl or PON <br /> Aa <br /> / P egg c of 3Z Analyses <br /> Address [ ` J r L 3 r qi <br /> Phone# <br /> city,State.zip n Report attention <br /> r✓ a� <br /> Lab - - Samplod bt' <br /> 4a <br /> Num <br /> lad ber <br /> Type <br /> Sample Date !Time See key of <br /> . number aampsampled below Sample description containers `- "Q aL <br /> Remarks <br /> 1655 f0 <br /> !.0 —10 331 ( a <br /> Gc.! 3 47 / r <br /> .Its <br /> q <br /> 'Signature Print Name Company bate 7-me <br /> RNinqu!atsdby Asa 2SI' ' ,BCG l � <br /> RaceWad by <br /> Re"uVshed by <br /> Rxer"d by <br /> RakneluiaMd try <br /> Recsbod by Leoorwerr II <br /> BROMYN AND CAIdDMlELL.LABOFIATORIES Note: <br /> Samples are diatart}ed 30 days atter arrangements or results axe reported unless other are made <br /> ❑12%Powa s"m,E mryvft CA 94668(415)42a-2806 . <br /> W3 South Falx 0111f1 iverwe,t'eaederte,CA 91765 pia)795-7553Hazardous samples will be returned to dm ieor disposed of at cliare expense. <br /> ❑1200Ptie8i[pAtgnw AnVorn.CA W= 'KEY.AO—Aqueous NA—Nonaqueous SL—Sludge GW—Groundwater SO—Soil OT—Other PE—Petroleum <br /> i <br />