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i <br /> N <br /> TMa"Emlo CHAIN OF CUSTODY RECORD Page of f <br /> Environmental and Geotechnical Consultant 555 Montgomery Street,Suite 1300,San Francisco,CA 94111 Ph 415.955-90401 Fax 415-955-9041 <br /> 2 Theatre Square,Suite 216,Qrinda CA 94553 Ph 925-253-49801 Fax 925-253-4985 <br /> 501 14th Street,3rd Floor,Oakland,CA 94612 Ph 510474-45001 Fax 510.874-4507 <br /> Site Name F,,r,.-,\KU <br /> Job Number 35 �'] u� _ _ alysls Requested; <br /> Project ManagerlContact <br /> Samplers <br /> Recorder(Signature Required) CL <br /> No Containers <br /> m <br /> Matrix &Preservative t <br /> ae�"'fir e <br /> sFieid Sample *47� CD <br /> N <br /> IderitifRcation No Dates Time Lab Sample No WRWeMarks <br /> x <br /> X A A A �C <br /> ` ►,�5o-3,S oa X <br /> ! <br /> 7 Ta -GG- lyra x1 X )(Ix <br /> x X x <br /> --13 -Rv2io- x <br /> R qui ed by (Signature) Date Time Rece by (Signatu Date Time <br /> z� 03 � a� <br /> Relinquished by (Signature) Date VTime i by t ) Date Time <br /> Relinquished by (Signature) Date Time R cewre)ed by Lab {SignatuDate Time <br /> Sent to Laboratory(Name) ' 1, 'rz,, ���� Method of Shipment BLab couner Fed Fac [—]Aubome UPS <br /> Laboratory Comments/Notes L � J Hand Camed ElPnvate Couner(Co Name) <br /> White Copy-Original Yellow Copy-Laboratory Pink Cop/y--Field COC Number 002885 <br /> . . yam <br />