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y �t <br /> PARKER 4` <br /> Environmental Services CHAIN OF CUSTODYFCRM <br /> 190 East 7th Street l) G '-7 r, r p <br /> Pittsburg, CA 94565 , 113— — Gr Th Gu s i Dry 16 l d 77 PG bU <br /> —dQ2 <br /> (925) 439-1024 Site NameFoo`hp,-es- 3 <br /> Fax (925) 439-2566 Location JG- j-'" . c Date A-3 --Q <br /> mple Type Analysis Requested <br /> tuber Soil Water Time TPH-g TPH-d BTEX 0 & 0 MTBE Metals (list) Asbestos Other Remarks <br /> 1o.a:� �C s 30255 <br /> X 30256 <br /> V-3 ?r=qv 'C 30257 <br /> �C E 30258 <br />�-S x I. r x j 30259 <br />)�G I.Og �C 30260 <br /> 30261 <br />►A ,X 1 C)5-0 30262 <br /> 7pler Name (Print) Rob-e rt 4 orc Sampler Signature <br /> qulshed By Date and Time Received By Date and Time Sampling Site Sketch <br /> k3-on <br /> ;1.0-5-- yah ca VO=0&G s'aTHER <br /> quls ed By Date and Time Received By Date and Time PPESERVOON <br /> qulshed By Date and Time Received By Date and Time GOCOMMON- ✓ APPPOPMATE <br /> SAD SPACE ABSE - . .ZCONTA,\.'EAS ✓ <br /> qulshed By Date and Time Received By Date and Time <br />