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t t t t t t t t t I I t 1 I t t t t <br /> CHAIN-OF-CUSTODY RECORD <br /> Send Rcport and Invoice To: <br /> Terrasearch, Inc. (Environmental) Sheet / of / C-O-C Control No.: <br /> 1580 N.Fourth Stroot Project Name: G 1 o v e tr <br /> San Joso,California 95112-4676 Project No.: C 6 5-7 6 . 00 / <br /> (408)453-1180 Samplers: R,(Z <br /> /( I / Carrier/Airbill No.: <br /> {� <br /> LABORATORY NAME: f e l o ri�t j �ti r renl��� iJ' �-��75 Telephone: f 6ff 1�5(6 - `m,)4 FAX: <br /> Address: 176 Certificate No.: 17c Contact: D zti, Ty c-"-o <br /> SIGNATURES (Name, Company, Date and T'mc): 6 <br /> Relinquished By: j�A � Received By: (3 l <br /> f0 z-a q `S f /3 <br /> REQUEST' FOR ANALYSIS <br /> Sample No. Sample Location Date/Time Collected Sample Container Preservative REQUESTED ANALYSIS Detection Comment <br /> lylx lypc/Size limit <br /> M W _ fa 2( qH (0, 3'0 Gj-ZZ, l-,e <br /> MW - Z <br /> M6J - 3 <br /> `f If L( tr 14 <br /> 10;30 L+ 2-yo-ay v+ T X 0. 3ppb <br /> MW 3 12-,' 3'6 q t I t r `( <br /> MwL+ ! 3 y <br /> r <br /> White-Terrasearch Project File Yellow-Terrasearch Field File Pink-Laboratory Copy <br />