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:x <br /> DU PONT ENVIRONMENTAL SERVICES <br /> 7068 Koll Center Parkv;ay • Suite 401 • Pleasanton, California • (4 15) 462-7772 <br /> CHAW OF--CUSTODY/WORK ORDER <br /> Testing Laboratory Trace.Analysis Laboratory _ Phone (4 15) 783-6960 <br /> Address 3423 Investment Boulevard, Unit 8 <br /> City. State. Zip Noyword, California 94545 <br /> PROJECT NAME �oil CA21b11e-ti' <br /> U <br /> JOB NUMBER NG. 11' <br /> T� X {(� <br /> REOUESTOR D� ��a5�t a 14 REMARKS <br /> - SAMPLERS Signoture � ' `��s CON- 4 <br /> C TAINER <br /> SAMPL OATE TIME <br /> a LOCATION <br /> 4W-1 a <br /> a Mw-IS v cul~IS v <br /> - <br /> �� M�-I$ MW-1 8 <br /> ✓ VJ-ad `' '� `� <br /> 14W-.2 a ✓_ <br /> .� Wtu•aY Ntw-aK a u�Y� �` , <br /> i- <br /> MIX as ti <br /> Nttu-Z6 <br /> ✓ Dur��lati e a <br /> t" R OUISF[EO BY ( ig e) �- DATE TIME PECENED BY (Signoture) DATE TIME <br /> q .tl- _ <br /> REPR SENTING: t' REPRE5ENTlNG: <br /> RELI UIS>1ED BY (Signature) <br /> DATE TIME RECEIVED BY (Signcture) DATE IM <br /> REPRESENTING: REPRESC G: <br /> 77 <br /> - ---- - <br /> ----- DATE TIME - - - <br /> RELINQUISHED BY (Signature) RECEN Y natura'1 <br /> its - <br /> � � y/S <br /> REPRESEKTING: REPRESENTING. <br /> A-5 <br /> a - <br />