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/� L i Y /� — X <br /> } -0�# MLI rkS4�4+}'4 AtiiFtip# <br /> Oexaco Environmental Services r Chdt <br /> irfPage of <br /> 108 Cutting Boulevard Site Name C "`— <br /> Richmond, California 94804 Site Address Lfu LJe57 <br /> Number <br /> Phone 15101 2313 3541 Contractor Project Numb / �3 d�--J pl - <br /> FAX 15101 237 7821 <br /> Contractor Name RQrNa <br /> Forward Results to the Attention of Rebecca Digernes■ Address, , f..� <br /> Texaco Project Corordinator Project Contact. 011P 0 <br /> Phone/FAX a,og- �?F. r0 / aU9 3tr �sn1 <br /> Laboratory B C Analytical <br /> Turn Around Time $ *,.a <br /> Sampler* (PRINT NAME) A,-TN�y <br /> Sampler Signature <br /> Date Samples Collected <br /> i r is ir�v(Mh4�ir1,�`�1 rh,�rr4F i¢'tik rfy+{C iy.+.J }��,'YS 71r Se fny+, W v <br /> t{.•, s' i,..,ii,, !,><F r;; �� fi¢Y,SFK ,}° r+' pr/y�s <br /> X.Lils O N <br /> r"; V 4 `'r4�4�r {Y`��}�Syr'�4ofi^ ��, _ m O <br /> �k2k <br /> 'dti,3 fi r + ~ O <br /> ` .q ,$d ''7' r .F r d`+i �}., r�AY, �+`� + h' ii$�Qrr•S ��SrcS"dE 00 to O N <br /> r'i'}`},�` r (+� 'a 03 O <br /> '}i r d i r r f'r.r .rill r 2` } i it rt yr 92{.3+8 MA i" r\at tom; > tl [.1 m C m <br /> v €`r?� r h rir iI' $< f esj F- W o o ti <br /> IAOY .�^ <br /> j-. Y,' <br /> hVr+< iitia x'r'fn£�'+ <br /> t t4'r 9 airs d u ¢ to o m u <br /> a % # Vl i.kYksry.v r a}vrt i{+d 1— o u <br /> d7 a i^'� .t`S} rr4fOF f{„ T U • ro C <br /> ad q Q Z Q [p <br /> i$• +, > d Comments <br /> (L p <br /> 1 <br /> 744 J7A- „N 1i1x9M d yUA, UJ <br /> 17Xi" or9`r 13'3b <br /> --------------- <br /> 'lar, <br /> � Mw� liars <br /> T'ca S?7Cr•"t V `/ &/8 <br /> 5' pMt <br /> laor /bo O <br /> LO <br /> 1aaf9Y rl 3 <br /> r7rr �} a-a r V-T 0 3 Ll <br /> 9p <br /> ra>„ '4 / ryO <br /> a nA,.MW 10 1160 Ili �' 0 <br /> 7-114 S,ro 3 N <br /> 4 ryk- T/3 '.181114 OS 3 koa� <br /> Te,t 48 11', boa 3 <br /> Ralmquiahed by <br /> Date Time Raceived by <br /> ISipneturai s. � Data Time <br /> Relinquished by J iSigneturej F kISigno �X <br /> Dote Time Received <br /> Relinquished <br /> i. Data /1 ,,na � <br /> Rahhgunhed 6y <br /> lsignat el ' / r /CEJ(/ <br /> Date 'time Recatwd <br /> ISiQnelurel Dais lime <br /> Method of Shipment (Signature) <br /> Lab Comments <br /> P WWMPIFORMSITEX COC XLS <br />