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1 <br /> PARKER � ' Q�e6S <br /> Environmental Services CHAIN OF CUSTODY FORM � <br /> 4185 Rialto Court <br /> Pittsburg, CA 94565 -,Job.Cllent:--(—v 5 tDm er Co ?_ <br /> (510) 439-1024 Site-Name �� �FIE�FE � <br /> Fax (510) 439-2566 Location: GYant Ljhe 'TV,Rc Date oV- 36 i 99 3 <br /> Sample Type Analysis Requested <br /> Number Soil Water Time TPH-g TRH•d BTEX O & G 8240 Metals (fist) Other Remarks <br /> MW— ( ?� 12LI2 K X. 11363 <br /> tA/- Z n n x s 33364 <br /> X\ 33365 <br /> - 33366 <br /> 1� MM ER <br /> c PRM vA <br /> HEAD S G ABS COM N1 ERS <br /> Sampler Name (Print) MA +^f Wa I Sampler Signature <br /> Relinquished By: at an Time' ved By: Date and Time Sampling Site Sketch 4) M00 ATO P,t0G W k LLS . <br /> Relinqu shed By: Date and Time Received By: Date and Time T ` <br /> ly (uill <br /> Ti �4 <br /> Relinquished By: Date and me riecelved ray: Date and Time I 'L <br /> Relinquished By: Date and Time Received By: Date and Time F <br /> 6. C,p-nor L>i� <br />