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C] <br />C <br />n <br />S <br />o� <br />Page 1 of 1 <br />n <br />C <br />d! <br />BC LABORATORIES, INC. 4100 Atlas Court D Bakersfield, CA 93308 <br />(661) 327-4911 ❑ FAX (861) 327-1918 <br />CHAIN OF CUSTODY <br />c <br />t <br />4- L 3 <br />�` i f j 2 j P f U <br />� <br />{� k k • <br /># � � Z 1- <br />CL <br />�x � T� {x k' <br />2 ne k <br />S <br />i <br />n <br />Name: Geologic Associa#es <br />Phone: 858-451-1136 <br />°o <br />tD <br />Address: 16885 W. Bernardo Drive <br />Project: Forward l.andflli / <br />� <br />i�NIESTlC WALL SAMPLING <br />z <br />n0 <br />® M <br />CA <br />No <br />��<�s <br />City: Sari Diego <br />Global ID: <br />C'f <br />State: CA <br />Zip: 92127 <br />Sampler Name: vyy 6 <br />2 M <br />v w <br />� <br />O <br />Attn: Bill Lopez wlopez@geo-logic.com <br />DDEL-TECH� <br />U <br />a <br />V <br />a <br />Lab# <br />Sample Description <br />Date & Time <br />Cl) <br />op <br />a <br />Sampled <br />U)�° <br />of-- <br />35 <br />'040 <br />V <br />H <br />.�� <br />6258 SANTA ANA WAY <br />X <br />m <br />N <br />CN(< <br />Y1STPOLY <br />n <br />b)U7�I <br />Itl <br />TRAVEL BLANK <br />X <br />sum <br />-OUT <br />C.3 <br />1,000 <br />ML. <br />500 ML. <br />3 <br />1,000 <br />POLY <br />V.O.A, <br />AMBER <br />NEAT <br />NEAT <br />'_.HCL <br />GLASte SWCL <br />Bill TO: <br />Re1i u' hed by: (Si afore) <br />� j3® )� 7 <br />( <br />R ived y: <br />& Time <br />Z15 7 /S30 <br />Relinquish d by: (Signature) <br />-7/5)1-7 <br />�s <br />Received by: <br />Date & Time <br />� � <br />� s 114 <br />® X151 t4 <br />1A <br />-7' <br />��<�s <br />