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i <br /> mb <br /> 4; #1--- 07 <br /> Trea"I&Jk& CHAIN OF CUSTODY RECORD <br /> vr <br /> nrR�A�C tar 5nf�GeR:e c7Jn crvf COnSu':anf 555 hlantgomery S"OL Surin 13410,San FranCtsCa.CA 94111 Ph A15-95540401 Fax 415-055-%41 <br /> 2 7Poeatrc Square,SU410 215,Orinda CA 94553 Ph 925 253-4900/Fax 92$2153.4885 <br /> Slue Name 50114th StM hok 3rd Floor,Oakland CA 94512 Ph 510$74.45001 Fax 510474.4W <br /> Job Number t} FAnalyjsRoquosteds �Projer:t ManAgurICO tact•Samplers <br /> Recorder{Signaluro Requ]r") o.CanlaJner�s <br /> Matrix &PreserwaHve t - <br /> Field Sample 1, <br /> ' 6] T y <br /> Idontiflcat[an No. Date' TIma <br /> f� imp Sample fro v_ <br /> Remark,s <br /> 447V <br /> ro <br /> I i t7 <br /> 1 <br /> RO retied S I e) orrtTlme e <br /> � Recc_ bir(Signalute) Dal a Timer/ <br /> FtPG uishsd by ISneturay <br /> cote 'Tuna` Recolvedi t.+y (Stgna u c) 0610 T me <br /> R�]knquisho�7 ti} Sipna;urri) � t7aSe t7 <br /> Tfma Recem!d by(_rib Igriaturo) 4e10 Time <br /> Se LaN t}rslory(Name) Mre2l of Shipman( t-0_uher OFed£x ��Vlrborno UPS <br /> Laboratory Con�mantsJNotes <br /> 1711­1,�nd Carried[]Ptivate Cnuder[C) Name) <br /> White Copy-0(49i laf Yellow Copy tahoratary Fink Copy -Field COC Number 002800 <br /> a <br />