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3 5 <br />r <br />TREADWELL & ROLLO, INC. <br />353 Sacramento Street, Suite 800 <br />San Francisco, Cattfomta 94111 CHAIN OF CUSTODY RECORD <br />(415) 955-9440 <br />(415) 955-9041 Fax <br />Project JIM Q Project Name Date -C/Pae i of % <br />Date Sample Analysis Sam le Information Re d By (S miller) <br />Number <br />St <br />U <br />t l.lJ o Company <br />Date >, <br />Time <br />Z <br />n V ecetved By <br />/�d � � 13 C <br />��'f✓ P-�Ix 1 Sign ure <br />3 0 za3L <br />Panted e <br />Company = ; <br />-x-43 )0- t <br />Date Time <br />3(� L Relinquished Sy <br />�J r/-.,13 T 8 1,2 G, <br />) k r `) Cst f� 3 Signature <br />Printed Nam <br />Compaq n <br />Da Time <br />e od of Shipment. <br />R c rved by (LO/� <br />lure <br />Pnntg 2? V <br />Date �30 93 Time <br />Lab Comments <br />,v r r } :,, ac' :..:+G..s +rr�a"nun, n..wX. .✓..++`. tC .a <br />'+�nN;"�° t nxwrywzv{ts� Total Number of vYAiA nnjr ASSkc{A4SMNy <br />'•„,�. _✓,rte ti9G/w`v.ki� °ac',x v�4 >�� w+i;'u�r4^Y`:yx'�44�>�. @iwe .?a" ''�`,�F v <br />Containers <br />s REMARKS. f <br />Ez C)IJ 1 r <br />f <br />