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-- Chain of Custody <br /> • , 141 Suburban Road San Luis Obispo,CA 93401 (805)543-2553 FAX(805)543-2685 <br /> 751 S.Kellogg,Suite A Goleta,01 93117 (805)964-7838 FAX(805)964-4386 <br /> 1885 North Kelly Road Napa,CA 94558 (707)257-7211 FAX(707)226-1001 Page of <br /> 9333 Tech Center.Dr.,Ste.800 Sacramento,CA 95826 (916)368-1333 FAX(916)362-2484 <br /> 2400 Cumberland Dr. Valparaiso,Indiana 46383 (219)464-2389 FAX(219)462-2953 <br /> • PLEASE PRINT IN PEN <br /> Client Contact (Z i an e r. done# � �X# <br /> Address /` er„e City t� StateCA Zip s-G RE <br /> Project Name/Number s Project MGR .-- <br /> ! <br /> Bill(ff different than above) <br /> t <br /> Sampler �e --� ue ate Re U�Q.R RUSH r Copies To: Auth. Init. <br /> Date/Time #of Fill. <br /> Sample Description Coll'd 'Matrix Containers Pres. yln �Salysis 3 Q� I�Lq5 Remarks Lab ID# <br /> .3 C E�°� $.2 4J E �E' El'A 8270 Tr;i Sep- <br /> _5L <br /> a / - �� em sL Z G <br /> S-1 P 5L Z C <br /> 2- <br /> Relinquished <br /> Relinquished By Date/Time Received By Relinquished By Date/Time Received By <br /> 6U44't" <br /> Gv S30A22&L`t/, I �� lj D 3 I <br /> ZShipping Method]`° j "Shipping'#- : Received.By DateMme Condition(See Remarks) DNWIattlDnnkirig Water <br /> O p 3 Cold Sealed Intact WW .Wastewater' <br /> W h��l►1GC ���' 7��-���-I �i(/r � j2� r/ GW - Groundwater <br /> 0 SW - Surface Water <br /> REMARK '- SG2 5 W -G IM - Impinger <br /> FI - Filter <br /> FP - Free Product <br /> .� NG -:Air/Gas <br /> SL - Sludge/Soil/Solid <br /> O OT - Other <br /> 0 <br />