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CHAIN OF CUSTODY RECORD <br /> Ship To. C Q`ta Q VN i Page _of 1 ,P Analysis <br /> t <br /> Attu • Project NaIDe —: <br /> Project No f -' tiW <br /> til <br /> Site Location 5 ` <br /> Date z2 <br /> J <br /> Sample Type Sample Containers <br /> Sample ID Depth Date Tune p (/ r REMARKS <br /> Water Solid otha V C7 Vol No Type Pies <br /> Total Number of Samples Slipped! Sampler's Signature + �i <br /> Si a Company Date Tune <br /> Rehnoushed bj 14l <br /> Received b r 1 <br /> Relinquished by 1 <br /> Received by <br /> Relinquished by <br /> Received by <br /> Special instructions/Shipment 1Ha&izig/Storage Requirements ENVIRONMENTAL SOLUTIONS,INC. <br /> #_ 2815 Mitchell Drive,Suite 103 <br /> 7[ i ti� r - Walnut Geek,CA 94598 <br /> (415)935-3294 <br /> cC-U1T04%k,�.., t,}•r ENVIRONMENTAL SOLUTIONS,INC. <br /> 21 Technology Drive <br /> ewe send send signed copy Vnth results to the ATTENTION OF. - Irvine,CA 92718 <br /> at the address to the right indicated by an® -.7 (714)727-7300 <br /> '1 ~ <br />