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PARKAER CHAIN OF CUSTODY FORM <br /> Environmental Services _ <br /> 4185 Rialto Court <br /> Pittsburg, CA 94565 ter,pr <br /> y&VMto 439-1024 - pare ! <br /> Fax O 439.2566 Location: Q ff! <br /> Sample Type Analysis Requested <br /> Number Soil ' Water Time TPH BTEX Oil& Grease 9240 Metals(list) Other Remarks <br /> g-1-I.� rZb f <br /> -I-z[ 'r /Z'''s <br /> Sampler Signature <br /> Sampler Name (Print) 1T�1n1j 1� jss � � <br /> elinquished By: Date and Time Receiv By: Date and Time Sampling Site Sketch <br /> linqued y: Date and Time Received By: ata apima <br /> Mal <br /> r , <br /> Relinquished By. to and Time s`ceived By: Date and Time <br /> fished 8y: Date and Tim R9ceivod By% Date and Time <br />