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0 CHAIN OF CUSTCMY FORM Page ( of l <br /> Curtis & Tompkins, Ltd. � Analyses <br /> Analytical Laboratory Since 1878 LOGIN # <br /> 2323 Fifth Street 3 LOG <br /> Berkeley, CA 94710 <br /> (510)486-0900 Phone S� <br /> (510)486-0532 Fax Sampler: 2a� <br /> L � 1 <br /> Project No* Report To. Lz� <br /> Project Name- 6a ��rucVz <br /> Company : � Cu �+T� ' <br /> Project P.o : Telephone: a33 <br /> Turnaround Time: r5 Fax: P3 3 "3 1�1 �° • <br /> Matrix Preservative , <br /> Sam lin n <br /> Laboratory p g o W L m #of v cOn O w Field Notes <br /> Number Sample ID. Date CO = _ = U <br /> Time <br /> W r 1 A S 63 I <br /> w. ,3 <br /> w,S-[3 - .5-o s <br /> 0 <br /> o ca N <br /> !L �- <br /> 1VQd �1 IceI F1 <br /> Cold ❑AmVient ac Pr Ler tati <br /> esFT <br /> ❑ LL.44 <br /> tti <br /> J <br /> Notes, RELINQUISHED BY: - RECEIVED BY: <br /> ro & 13 3��'-!IDATEMME 3 <br /> ATEmME <br /> �IM <br /> DATE/TIME EMMEDATEITIMEJ <br /> Signature <br />