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CHAIN OF CUSTODY No. 118 8 8 2 <br /> CONSULTANT'S NAME CONSULTANT`S ADDRESS <br /> s Ing, 1680 ftp eg rs &e. , San Jose, CA 95112 <br /> BP SITE NUThBER 131"SITE I FACILITY ADDTI—ESS CONSUL IAIT I Pr10JE-6l I F[i66FII <br /> 11192 1403 Counta Club Stockton <br /> CONSULTAUT PROJECT MAI U301 PHONE PLUMBER FAX IJUMBER CONSULIAHI C011111AC1 HUMUFF1 <br /> F)m my Sanders (408)573-0555 X218 (408)573-7771 <br /> BP CONT CT BP ADDRESS PtI0Hr-NUMBER rAX wo <br /> Scott Hootcyn Z21 SW Al9t St. I Renton,WA —(42D-Z51-0689 _�G2 <br /> LAB CONTACT LA90RATOnY ADDRESS PI-1014E NUMBER FAX 110. <br /> p - esl: PI 4- Box 2080 Houston 117E , (800)969.-67_ 5 <br /> BP CONTACT REOUESTING RUSI3 TAT(P111r113P Contact ITarns) RUST REOUESTE4 0r{1"1181 Consullanl Comacl Nalne) DATE/TIME SI IIPMENT DATE SHIPME111 ME 11101) <br /> AIl1E31T L t1UMF3EH <br /> TAT: u24 Hours 49 Flours 72 flours Standard 7 or 14 Days -NALYSIS REQUIRED (10 mgq)W7 <br /> C0111AIKIIS PRESE11VAINE TW Pr mt U <br /> COLLECTION COLLECTION MATIIIX <br /> SAMPLE DESCIIIPTION COMMEIJ I S <br /> BAIE TIME 501L/YUAIEIT 140. TYPE 1JaB <br /> 3 (VOL.) SAMPLE — <br /> !� r 3 1` - ---- - - <br /> -~ CAt - --- - <br /> SAMPLED M'(Plgasa PII111 Name) SAgVLED Y(SI a+ule) ADtiNIONAL COMMEHTS <br /> �j1i�QT� Gyti�JYtSG(� 1Cs L <br /> HELINOTIISITED 13Y 1 AFFILIATION ACCEPTED BY/AFFILIATION <br /> {1,11111 FTama J 5lgnalwe) DATE TIME (Print Name J Slonalure) DATE TIME <br /> a <br /> c� Co71 <br /> CLV-18722-A hIB7► _ <br /> P+calSo W91nIBU11011: W1R1E-01110WAL(WI IIIDAIA) yoL+ow rtr 1'111K-LAU BLUE-0G1JSUL1A11rrIELDsiArF <br />