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THE REMEDIATION GROUP, inc. <br /> Ennnvnmental Management&E%mxffn rg Consultants <br /> 7036 Balsam Way, site 100 CHAIN OF CUSTODY RECORD <br /> Oakland, California 94611 <br /> (510) 655-7678 <br /> (fax) 655-7637 <br /> Pro ect# Project Name Date Pae of <br /> Date Sample Analysis Sam le Information Relinquished By(Sampler) <br /> Number <br /> c Signature <br /> c <br /> o Printed Name <br /> U <br /> oCompany <br /> m <br /> E Date Time <br /> Z Received By <br /> Signature <br /> Printed Name <br /> Company $ ,n}c {; <br /> Date lime <br /> Relinquished By <br /> Signature <br /> Printed Name <br /> mpany $ ' <br /> Date Time <br /> Method of Shipment <br /> Received by (Lab) <br /> Signature <br /> Printed Name <br /> Lab `sA <br /> Date Time <br /> Lab Comments <br /> Tata] Number ofa 4`NS6a Ba�pQ p }�� r <br /> .c^aa?. w ,�. {„a v,,,S a•'�{ +xsix;4a.so.oro a ka <br /> ..� •a `oa'tQ} [aAl`y`c}Y4ti a 3htta<,4 c ,o <br /> a « ;vta`vhr Containers tiVr �` <br /> ------ <br /> REMARKS <br />