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r, <br /> *PARKER 0 <br /> Environmental Services CHAIN OFCUSTODYFORM <br /> 190 East �th Street d:, <br /> , <br /> Plttsburg, CA 94565 <br /> (510) ., 439-1024 Site ame dK ea a e fi d <br /> Fax (510) 439-2566 ocatlori` I Iti I s a '`Date /o <br /> SampleType Analysls Requested <br /> Number Soil Water Time TPH-g TPH-d BTEX 0 & G 8240 Metals (list) Asbestos Other ,Remarks <br /> o= �; r a ` tid 2rn A e-- TAT <br /> 57916 <br /> ew ' 57917 <br /> ' 57918 <br /> lo+ 1�I`1�' v !� �� �/ ✓ � �! 57919 <br /> 57920 <br /> ,v+ Q 1 <br /> 57921 <br /> 57922 <br /> (M Limr 57923Ii-'V I SPACE eWjL. <br /> ! <br /> ,— --- --- - — i 57924 <br /> ! ' ` 57925 <br /> Sampler Name (Print) Sa;nplarl`Slgneture <br /> el�nqu�ed By Date and Tim eecelved y Daae and Time Sampling Site Sketch 0`,� o a� <br /> Relinquished By baand Time Receive By. Date and Time <br /> 57926 <br /> Relinquished By Date and Time Received By Date and Time , I r <br /> 9 57927 <br /> Relinquished By Date and Time Received By Date and lima ' <br /> 1 I I <br /> 4, <br />