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sig t AM AM Lqw Lqwj �] L <br /> I ENVIRONMENTAL SERVICES,INC CHAIN OF CUSTODY RECORD l�Gy <br /> NorthernCallfornfaOt`flce (415)372.3637 DATE 96) —PAGEf—OF_� <br /> NAME '� PARAMETERS OTHER RANETER KEY: 10-TOC <br /> p ADDRESS T 1- KETALS (18) 0- <br /> s z 3 4 5 S 7 8 9 10 0 0 0 0 0 0 2-PR. , <br />- LUTANT METALS (13 0• <br /> PROJECT 0 3-GENERAL ERALS <br /> 4.OIL & GREAS Q• <br /> - T 5•PE7ROLEUM HPDR ONS 0- <br /> SAMPLER'S NAME b-BASE/NEU/AC (ORG CS 0- <br /> (print) i i= � � I J A 7-PESTICID <br /> ti l 8-VOLAT ORGANICS (60116 ) <br /> (signature) .S J. L 9-VOL ILE ORGANICS (624) <br /> sample 0 date time Ioeat Dri S OBSERVATION)COMMENTS <br /> r <br /> 6 <br /> I ti <br /> i� ` y1K <br /> r I I <br /> RELIHO I HED BY: ignatu a RECE1 D BY: (Signax e) d t time TOTAL NUMBER OF -�� <br /> S. 1. �� .I y�op CONTAINERS THIS SHEETS <br /> 2. 47Z"1Y. METHOD OF SHIPMENT: <br /> 3. SPECIAL SHIPMENT/HANDLINR ;�` CU�7oby Sc c gPP61LLQ �i 5 rc <br /> OR STORAGE REQUIREMENTS: o/_ <br /> ' DISPATCHED BY:(signature) date time RECEIVED FOR LAB SY:Ceig) deto time <br /> 7 oft <br /> 1 <br />