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• • ! <br /> CHAIN OF CUSTODY RECORD <br /> Slip To Page of Analysis <br /> Attn Project Name^ C L <br /> Project No 90— <br /> Site Location <br /> Date <br /> Sample Type $ Sample Containers <br /> Sample ID Depth Date Time Q w v Q REMARKS <br /> water sohd I Other V C7 Vol No Type P. <br /> S%Z e a <br /> z ti <br /> sT- Z G sT a <br /> ST-- Z 143D <br /> 5`r--2� 55y3 l <br /> ST- Z F514i 33 fl <br /> 1-' <br /> ✓ 8�S' fA <br /> Total Number of S Peed Sampler's Signature <br /> S ture Company Time <br /> Relinquished b L5r— <br /> Received b <br /> Relinquished by <br /> Received by - <br /> Relinquished by - <br /> Received by - <br /> Special Instru ons 1 Shipment 1 Handling/Storage Requirements ENVIRONMENTAL SOLUTIONS,INC. <br /> �` 2815 Mitchell Drive,Suite 103 <br /> k1a� L-C vn G/0Lt—n v � ��— �__ Walnut Greek,CA 94598 <br /> P --- ----(415=.329A <br /> ep,Lt t T ❑ ENVIRONMENTAL SOLUTIONS,INC. <br /> 21 Technology Drive <br /> Please send signed copy with results to the ATTENTION OF Irvine,CA 92718 <br /> at the address to the right indicated by an® (714)727-7300 <br />