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i <br /> 1 �777� <br /> 'r CHAIN OF CUSTODY RECORD Page-6Laf <br /> I <br /> Frivrronmental and Geotechnical Consultant 555 Montgomery Street,Suits 1300,San Francisco,CA 94111 Ph 415-955.90401 Fax 41545M041 <br /> 2 Theatre Square,Suite 216,Orinda CA 94563 Ph 925.253.49801 Fax 925-2534985 <br /> $41 14th Street,3rd Floor,Oakland,CA 94612 Ph 510.87445001 Fax 510.874-4507 <br /> Site Name <br /> Job Number 3 O -�� , • �y $ <br /> Project ManagerTontact $ -- <br /> Samplers fzvz7L p q t <br /> Recorder(Signature Required) N" U <br /> m <br /> r � <br /> N <br /> FOA _ N x <br /> 2L1 o I[oib X X I I I I Iii <br /> 1620 X I x <br /> 13 1 - -7 QI 2`l I b I E ,K <br /> -- L� T6o9 7l�lo Z '2�t6 I l <br /> —19 -M,40-coG=1 924 is 'W- 3. X <br /> I 1� -GG-I2 5 1-+3$ <br /> i <br /> —[i ig1$--GGA Iib 1-7 3h< X <br /> al4 1�-GG+- 9 3 I-K)d I — X yk it <br /> eceived;; Ice <br /> t <br /> al <br /> Reim ed by ( ) Date Time Received by Date Time <br /> Relinquished by(Signature) Date Time R y Hato Date Time <br /> 4 <br /> Relinquished by (Signature) Date Time Received by Lab (Signature) Date Time <br /> I� <br /> Sent to Laboratory(Name) Method of Shipment 1:11-abcouner E]Fed Ex DAirbomeUPS <br /> Laboratory Comments/Notes Hand CarriedElPrrvate Courier(Co Name) <br /> White Copy-Original Yellow Copy-Laboratory Pink Copy-Field COC Number, 001275 <br /> M � M <br />