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PARKER ENVIRONMENTAL SERVICES CHAIN OF CUSTODY <br /> 190 East 7th Street DATE `==Z7ft9 PAGE 1 of 1 <br /> Pittsburg, CA 94566 Sample Source <br /> Phone 925-439-1024 The Customer Company <br /> Fax 925-439 2566 Cheaperl #37 <br /> SAMPLER(S) 7- 15 East Grentllne Road <br /> Tracy, California <br /> SAMPl.FR881GNATUREA•vrMd�"Wr �fit6 <br /> SAMPLE RECIEPT <br /> TOTALNo o(CONTAINERS <br /> CHAIN OF CUSTODY SEALS W <br /> REC D GOOD CONDiTIONICOLO m z <br /> Q <br /> CONFORMS TO RECORD � �4 <br /> oTf <br /> r-1 0 <br /> LAB NO0 <br /> LU LL <br /> � o <br /> + w <br /> m Lu <br /> c <br /> in <br /> a L <br /> 0 <br /> � z <br /> x <br /> FAX RESULTS TO 15101 373-0222 IQ.. <br /> MALlt iD t r s''� a <br /> t]A'ITE,�� =TIME '"'�MA'€F;I�,., 1.gB 1D: <br /> 1371MW-1z��� '2� WATER X <br /> L�2 /37/MW--2 (Q7 WATER X k <br /> 137/MW-3 _�� I lQ WATER X <br />• <br /> /37/MW-4 271 WATER X <br /> .� �Z /37/MW-5 (� . WATER X <br /> j ^Z/37/MW-6 (,_27 1 WATER X <br /> (�) 12 1371MW-7 G-7-7-61 10 G WATER X Pr Lf <br /> (f) I371MW-8Cs^Z �';47 WATER X <br /> 14880 14884 <br /> I <br /> 1488114885 <br /> 14882 <br /> 14889 { STANDARD <br /> I <br /> 14883 ' TURNAROUND <br /> 14887 TIME <br /> RELINQUISHED BY I ,LNQUISHED BY <br /> SIGNATURE SIGNATURE <br /> TIM£ TIME <br /> PRINTED NAME ,�'IQ� %Z- <br /> 'R PRINTED NAME <br /> H20CEOL DATE NpOCEUL DATE <br /> COMPANY �^ COMPANY <br /> RECEIVED 9Y RECEIVED BY LABORATORY - <br /> SIGNATURE SIGNATURE # \)y�-^� L �— <br /> TIME ��[[//,, TIME f <br /> PRINTED NAME —�-- PRINTED NAME �� �,kt/�L— (4,�r i <br /> HZ O C DATE DATE <br /> tOMPANY ]COMPANY MCCAMPBELt ANALYTICAL-INC <br /> Elly ESERVAPON MEIAtS OTI R <br /> GOOD CONDITION APPROPRI <br /> HEAD SPACE ABSENT ATE <br /> CONTAINERSL <br />