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BC LABORATORIES, INC. <br />4100 Atlas Court ❑ Bakersfield, CA 93308 <br />(661) 327-4911 ❑ FAX (661) 327-1918 <br />Page 1 of 1 <br />CHAIN OF CUSTODY <br />Report and Bill To: <br />Analysis Requested <br />Name: Geologic Associates <br />Phone: <br />° <br />S <br />o <br />C6 <br />°z <br />(n <br />2 <br />4 <br />N <br />a <br />o <br />' <br />Address: 16885 W. Bernardo Drive <br />Project: French Camp - Semi <br />City: San Diego <br />Global ID: <br />State: CA <br />Zip: 92127 <br />r <br />Sampler Name: �0_N U �-)R <br />Attn: <br />C)�E L-jF" <br />Lab# <br />Sample Description <br />Date & Time <br />Sampledco <br />zq <br />lb <br />>K?o <br />�3 <br />:tHORT <br />H SS <br />DOI CIZ <br />BO MBA COT <br />W AM <br />UB -OU T� <br />Bill To: Forward Landfill (republic) <br />Re 'nquish : (Signature) <br />ec'ved b : <br />Date & Time <br />9999 S. Austin Road <br />R 'n fished :(Signature) <br />d4nt 3 30 <br />Relinquished bignatur <br />Receive <br />Received by: <br />Date & Time <br />3136116 /8r, 0 d <br />Date & Time <br />2t 45 <br />Manteca, CA <br />