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CHAIN OF CUSTODY OU E Page f O <br /> lar��11 Lab J <br /> .,�C <br /> TAT 5 day <br /> Report results to <br /> Name Mal Reimer Project Information <br /> Company Cla�4on Group Services Protect No �'� t3� ori a0-1 <br /> r _ _ y ri ..._.._.,....._ <br /> I`+}.3rlrnr Address 6920 F(oll Ce3nt�:r Parkway Ste 216 P1ars7e The Learner Company <br /> City, State, Zip Pleasanton, Gol[fomfa 94566 Local+ori �2711 Navy Drive, Stockton CA <br /> Telephone No (925)426-2600 <br /> F.�x No M25y 426-0166 Anat ses Re uested <br /> M <br /> LU <br /> SpeC101 VISULICI%an5 8411d'ur airy fir regt,laory rcwrcmears m <br /> + + E <br /> c, LU - <br /> x o ? <br /> !n S <br /> G4 90 {`p C <br /> Date Tana Matrw, iqa or ¢ < < Sample ConditronlGornments <br /> Sample ldantrfrcation Sampled Barri led 'Media Conts, w w uws <br /> MW-1 05-Aug-03 �'5 5S GW <br /> MVV-2 0 5-A€ref-G3 16-00 G W j <br /> MW-3 05-Auq-03 ;7 15 GW <br /> Collected by ,+tff� , Date/Tirne E7 i� Collector's Signature Date'Ttwe <br /> Relinquished by w6 l p DatelTrrne f4W c; `j 3J Received by ,� Date/Time <br /> Relrrfqurshed by batel7"rme Recerwedby DalerTrrr,e 7- GdC� <br /> Method of Shrpment Sampler Condrbon on Rcpt `J � ��- <br />