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I Srr.� Tecl �rlr�lrr�r�llle.�ta� Inc. <br /> P.O. Box 4877 - Modesto, CA • 95352-4877 • (209) 576-7182 <br /> Soil &Groundwater Investigation - Environmental Real Estate Audits <br /> m ta„4 Remedial Site Assessment - Remediation Systems <br /> rr..rr.r.ra.r.r.r.r.�..rry.i.irri:rrrirr:ry ri ii <br /> fl GeneralF,rrgrneerfng'Cor�trac�ars Lrcense/bb. 6V-Iff6 <br /> CHAIN OF CUSTODY <br /> 1 <br /> Phone <br /> Client - - <br />' <br /> CC to: <br /> Address <br /> Zip <br /> PROJECT ID ANALYSIS <br /> No. <br />' STS foo(-oo of <br /> con- �� <br /> SAM D 8 e) fain- REMARKS <br /> ers <br /> &type Sample Location \8 <br /> Date Time Gish comp. y <br /> 1`OD M w— 3 - <br /> W32- m ul—'1 <br /> ISk3I�- <br /> 1 n1 _r <br /> 1bk vnw–b 3 <br /> 1,710 rwi t0 1D 3 <br /> b sc 1753 mw- i � <br /> signature): Dae Time <br /> Relinq hed b Dale Time Re 9 ): . <br /> 7 f ff3 2 Zz5 Dae Time <br /> Relin sh by (signature: ale Time Received by (si nature): 711 <br /> X 41.— <br /> Dale Time <br /> to Time Receive by (signature): <br /> Relinquished by (signature): <br /> pate Time <br /> Relinquished by(signature): Date Time Received by (signature): <br /> Time Received by(signature}: <br /> Date Time <br /> Relinquished by(signature): Date <br /> Driving Time: <br /> Site Time: Finish: Total Hours: <br /> Total Hours: Start' <br /> Start: Finish: ' <br />