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ffG . 4080-C Pike lane <br /> Gonad.CA 94520 60OW-3422 M CA) CHAIN-OF-CUSTODY RECORD AND ANALYSIS h4JUEST <br /> I N Y I/O!I Y 110 TA l 415.685-7852 800.423.7143 tOuts[de CW <br /> la/Oiilp ill 1,INC. <br /> Project Manager: Phone p: ANALYSIS REQUEST OTHER SPECIAL <br /> o� A � <br /> HANDLING <br /> Address: FAX C <br /> Project Number: Project Name: c w <br /> 2�s - ee 2-5- -z8 9 -af - ri 5 <br /> Project Location: Saplat Sign re: m g U t <br /> a s W w 0 t7 <br /> rJ z <br /> 77-1 <br /> St $ $ m m = a o N CC 0 a: <br /> a Matrix Method Sampling a '' z Tn " r a <br /> Sample Lab # LU UJ <br /> Preserved � � twCc <br /> o <br /> 10 !� 940-1 <br /> ¢ NNanz�lpb bsoE �, w w � $ a $ $ �o p oa Q 0 tip M u LIJOnly c7 a U Z V Q8 Q � I- 4000a- a4aa a- Q C tL aW ¢ it X w as a. <br /> x m — z 0 0 m m r- H ►- F- i- w w w w w w 0 w w -+ O a w e y N <br /> n*,La -I go X <br /> WU-I <br /> X2. t. . z <br /> I'd d I !S; <br /> 113 - x <br /> r <br /> � •� 2 rso <br /> ���� •arnNs< 1 �4• X <br /> IS <br /> REIT fished Dale Time Received by: Remarks: <br /> Relinquished by Date Time Received by: <br /> Relinquished by Date Time Received by Laboratory: <br /> � D <br />