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MP Environmental Services, Inc. <br /> BAKERSFIELD,CA YOLO,CA PHOENIX,AZ `.--� GRANTSVILLE.UT ENID,OK BILLINGS,MT E WA <br /> (80(1)458-3036 (8W)245-9518 (800)833-7602 (877)800-5111 (800)458-3036 (406)652-5497 (8 4d2 6334 <br /> CHAIN OF CUSTODY RECORD Lab Log No. <br /> Client(ProjectNameProject Location(Physical Address) ANALYSES <br /> J)rr) Jd+ '-776"7 5 Gck Tone, c! /D <br /> Job Number S L k..+4-1 C =. <br /> ( 22.7x3 a r <br /> (Signature)Sampler \ <br /> P , 9natureJ Employedldle ^ <br /> D !C / MrEE'VJJ_MnA-n- l <br /> o� <br /> Sample NoAdentification Date Time REMARKS <br /> 01 / ml l l ✓ I/ / oe.ft v 1T—f R&M WAS <br /> 2, /TRENCH 5tuD 'V S /6 .1/s / INS 67,954. 003 <br /> / �2aSe,. S2rL� <br /> l I VP a 46 <br /> / Q i <br /> i+Hep ryipewiro. <br /> Reliin( hh by(Signature) Date Time Rete y( gnature y Date Time <br /> Relinquished by(Signature) Date Time Received by(Signa e) !`<- _ Date Time <br /> _ N <br /> Report To: Bill To: '- <br />