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1 , !r" <br /> CHAIN OF CUSTODY RECOR[. <br /> Project No. 9 3 � I <br /> i P'rojKe wise 0 e- <br /> _�[�S _ <br /> Saaplers: Richard Brunner Affiliation: Leeds hi Inc. <br /> Wane aro - ---- <br /> � Signature) '-�� �..t�(nv►�r,✓ <br /> Shipped to: Superior Analytical Shipped Dyt Leedshill-Herkenhoff. .-Inc Date Shipoed: —_A2 <br /> Na-e (taxa------ — --- <br /> 1385 Fairfax Streeto Suite D ` 30_3 Second Street, Suite 880 North <br /> Wdress Address ----�- <br /> San Francisco. CA 94124 Sart Francisco CA 94107 <br /> 4151 647-2081 (415) 243-9980 <br /> Tele;*ow Teleohone <br /> �z�:s.�aesscc.=�^azcar=�cc�-�Qes�a_aa=-.s=x__ta�asssca�—n=- -ss:ss�a=ss�;ems=Rszc-s�s��as�aasassasnasc=sex=:sem <br /> s_ia¢aassCassasrssasa <br /> Collector's Sa^p1e Sample No. of <br /> 5a-jple Ih. Location Date Tice Type Containers Analyses Reouested <br /> emark4 <br /> GCr-saa�sxe��.s.-i,�Ta�CSC�f',FRS�Sf:�3Z+:x =.==RaSaR. R�."CQR=_Z2�z==z _sL�3meszs�ersa "2 '2a2�Ls=�rsass=x==t�xst—=rC�sa=baa sas=ar=ssSaa <br /> fes'-%- q/ It/M �f�,�,trc t11 t- i t' F f1/ 4sr`114, x� nI'n'q� <br /> 1 ,2_ T 1 I(! 3`arc to <br /> '.r1L� rL Q t .,? f f�i' ll r'j <br /> /2,36 - - -- �Lxt`_-� <br /> ��� rl��a� -- ��L��" ..�eL�..—,..---- <br /> _ uct _ j <br /> '"& y r GZ —_ 1L f1;10 .sem _— /--- 1121L_ f�oll�t <br /> Barr C�._— IZ•90 �n./ ---�___ �f- - 1•.f�'/lh ------ --- f�J1----__.----- <br /> �_ $ -- --------- ------------ <br /> . �_L = -___-- -- -------------------------------------- <br /> FQl:rrmshed byt Date/ Tree Received by: Date/ T:ae Reltnautshed by: Date/ Tt— `Recet�ed Dy; <br /> 15: ratvrel -"� Date/ Tare <br /> - �� IStyhattrrel 9� /�j8 �, � fStgnatr:r ,��] ( (J' t5:cnaturel <br /> I Pr1:rgl:-hed bf: Date) T:ue Received by- Date/ T:ae - Reltr.ou:shed D Date! T1Fe - Received b — <br /> IStgnaturel 15: nature) 1• Date/ Tare <br /> -- --9— � 15:onaturel � 11 iS:onaturel <br /> r'ctir�a:shed byt Date/ lise Received by: Date/ T:c2 Ael:noutshed b : —4~ ---- ----------- <br /> (Signature) y Date/ Tice Rece:ted bv: 0.10 1t�e <br /> (S <br /> 'j � IS:graturel I (Signature) y: <br /> ( (Orel / ' <br />