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br✓-04-1y'J4 la-) U(r'F I r1mul F l lot-ampwt=1 1 '" ------- <br /> THE Chain of Custody Record <br /> GROUP <br /> ENGINEERS & GEOLOGISTS. INC O76 eZ 3 n6'so <br /> Project No ��7fQ�. Sample P Int <br /> Date f �- �'j Li nO�y/62- <br /> TIME SAMPLE CONTAINER ANALYZE FOR PRESERVATIVE HOLDING REMARKS <br /> NUMBER SIZ TIME <br /> ' -7-P <br /> Ex <br /> 113-411 <br /> i� <br /> " <br /> f� <br /> ui 3 <br /> e#'0 _ I <br /> Ftr, <br /> Oft <br /> F <br /> RRM,111 V- <br /> Rel shed ] Dem smaq J Aem-d by'(slgr+alur ) Receiver represents <br /> - . <br /> ReunQuls (sFpmmm) Dats/rWo Received by-(wgrawre) Receiver represents <br /> �1 <br /> � Rslm -Shed W(signature] Dammme Rem"d by (sgrtv"e) Rewvw represents <br /> ra <br /> J <br /> W <br /> Hookston Square, Suite 120 3480 Buskirk Avenue Pleasant Hill, CA 94523 (510) 946-1055 <br />