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BALBI`8z CHANG ASSOCIATES <br /> I -_- GEOTECHNICAL CONSULTANTS a MATERIALS TESTING <br /> CHAIN-OF-CUSTODY RECORD <br /> SAMPLER: (Signature) , <br /> Date Sampled /2%0 Date Shipped/ / `'Carrier <br /> SMI► TO: SEND RESULTS T0: <br /> Mr. Pierre Nanette Mr. Philip L. Chang <br /> Chromalab, Inc. Salbi i Chang Associates <br /> 2739 Omega Road, /1 151 Link Road, Wits A <br /> San Ramon,Californis 945x3 Cordelia, California 94585 <br /> '4") 83, <br /> 415) 831-1788 (707) 1164-2020 <br /> ANE <br /> PROJECT M :AR"-VP? N946-qRo h1�✓L1 T r PROJECT NO.: Z P>7 <br /> J.•�..r.�r� /;-1-j-10 7 C 5 <br /> Reli ed by: (Signatur ) Recieved by: (SJgnaturs) Date Time, <br /> Relinquished by: (Signature) Recieved by: (Signature) Date Time <br /> Relinquished by: (Signature) Recieved by: (Signature) Data Tiwe <br /> ANALYSIS REQUESTED - <br /> Sample ID Sample Dote/Time Analysis Requested Sample Condition <br /> ' Number Description Sampled Upon Reciept <br /> i <br /> SOIL <br /> too <br /> ISpecial Instructions/Cammsntst ' <br /> l <br /> hp j-tuk. ! <br /> CO 151 Link Road,Suite A a Cordelia,CA 94585 a (707)864-2020 a Fax: (707)864-8886 0 <br />