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I t t t t I <br /> CIIAIN-OF-CUSTODY RECORD <br /> Send Report and Invoice To: <br /> Terrasearch, Inc. (Environmental) Sheet ( of / C-O-C Control No.: r 6 f"76/(O F Q 'f <br /> 1580 N.Fourth Slroot <br /> Project Name: ayzv- , <br /> San Joso,California 95112-4676 Project No.: r^6.57 6, 0 O <br /> (408)453-1180 Samplers: (Z E'Z <br /> / Carrier/Airbill No.: <br /> p <br /> LABORATORY NAME: C rl0 Ek vi rot,I"M A Z-3,s Telephone: 400,14 -9z.-?,6 FAX: <br /> Address: 176V 14ou. c+ C-, &(('f r, CA 9y--O„35'- Certificate No.: 170,? Contact: b�_✓r-c� <br /> SIGNATURES (Namc, ompany, Da c and Time): <br /> Relinquished By: :�, v'F <tt4 Received By: PG L <br /> 111Y t( IC"-' 0'7 <br /> REQUEST' FOR ANALYSIS <br /> Sample No. Sample location Date/'time Collected Sample C«nlaincr Preservative REQUESTED ANALYSIS Detection Comment <br /> 'lype 'lypc/Size limit <br /> 4� 4• o c..r t� �,�. �. & '1 SP11 a•os" b <br /> P. 7.5 / t.t <br /> P - L 70 l II SS u `� �, 6 Tr x <br /> r <br /> P 3 <br /> r <br /> `( 7, C <br /> P }� <br /> 4, 5- 1 tt t6 . zs Gt e� it <br /> t,4Z9Y 3 qc <br /> f - 7 5-0 <br /> 5P - r' s~�a c (t /,L'{;3$ H of <br /> 5? .- z `t ►I <br /> Q "-3 �' �t t�•�S �, rt It G <br /> White-Terrasearch Project File Yellow-Terrasearch Field File Pink-Laboratory Copy <br />