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s • • <br /> �T CHAIN OF CUSTODY RECORD <br /> Ship To: CH RD"ALAS Page I of I Analysis <br /> Atm: Project Name <br /> Project No. <br /> Site Location <br /> Date 10-24—q2- <br /> Sample ID Depth Date Time Sample Type oSample Containers REMARKS <br /> water Solid other U C7 vol, No. Type Pres (i (� O <br /> Y Woc rD DEBe\S /zv 4 2 IL. (,I )41 Y X X Co os:�� 6ofh <br /> G2055 T1 s 1O� X I IL G( -s <br /> l� CHROMALAB FILE # 1092288 <br /> ORDER # 0 3S <br /> Total Number of S les Shipped: 3 Sampler's Signature: <br /> Signature Company Date Time <br /> Relin uished b EST 1T 9 i (. <br /> Received by L 14R 6 q t°/Zq <br /> Relinquished by <br /> Received by <br /> Relinquished by <br /> Received by <br /> Special Instructions/Shipment/Handling/Storage Requirements: ENVIRONMENTAL SOLUTIONS,INC. <br /> 2815 Mitchell Drive,Suite 103 <br /> J2es� FS vie ed ed b N1�,� �oV. 2 Walnut Creek,CA 94598 <br /> r 510 935-3294 <br /> 1J-�D0d, 660fzZ5, ENVIRONMENTAL SOLUTIONS,INC. <br /> 21 Technology Drive <br /> Please send signed copy with results to the ATTENTION OF: ` Irvine,CA 92718 <br /> at the address to the right indicated by an® (714)727-7300 <br />