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OG� <br /> fMW M 0W so on fl2109L To 1016 ' LaV <br /> CHAIN OF CUSTODY RECORD <br /> Pacific Gas & Electric Company "� <br /> 3400 Crow Canyon Road, San Ramon, California 94583 <br /> 1 (510) 820-2000 AHention Phone , 171 -I�/( Page Of <br /> I <br /> Job Number Project Name Protect Manager <br /> Samp arures) Feld Team Le7;r Gb <br /> /�- � /� /`!�{ <br /> `"SAMPLE SAMPLE <br /> NUMBER DATE TIME TYPE SAMPLE INFORMATION O �`� �� v� REMARKS <br /> CNTAS <br /> Iu, sf c�rn�r-Ul l� � j' c� f <br /> C11u' t� Ili a. <br /> 1� l t <br /> r r <br /> 1 r <br /> <,CI101 )i 1(, 1001 f,1-1' (Al -} <br /> { f I ( I{ f i '(,I I fllt <br /> Rel, s By (S,gnaru ) D/atelia a Received By (Signature) Date?ime Ship Via <br /> (� <br /> Rel wished By (S gnaruraJ Dafemrma Received By (Signature) Dat ime <br /> / f <br /> Z Lh�t < f(i 3 C'(r BLlAir}lill Number Dase <br /> el wished By (Signature) D I ime Received By (Signature) Date lme <br /> DISTRIBUTION Original Accompanies Shipment Canary Copy to PG&E Pink-Sampler NOTE Samples are discarded 30 days after results are reported unless other arrangements are made 600069971GIIT197 <br /> I <br />