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2121 N.California Blvd., Suite 500 ji PAGE-i—OF <br /> EPARSONS Walnut Creek, California 94596 Phone: (925)941-3700 CHAIN OF CUSTODY RECORD <br /> FAX: (925)979-9781 <br /> ANALYSIS REQUIRED/PRESERVATIVE <br /> Project No.: ��1���� �— <br /> Project Name/Location: w <br /> z l= <br /> Project Manager: j p <br /> Sampler(s): (Printed Name and Signature) zLL <br /> O �> ` `�✓ Q <br /> p <br /> J <br /> Sample ID Sample Location Date Ime Matrix Z �— °� <br /> Remarks <br /> LILL <br /> J <br /> RELINQUISHED BY:(SIGNATURE) DATE^ TIME REqgIVEO BY:(SIGNATURE) NOTES: <br /> RELINQUISHED BY:(SIGNATURE) <br /> DATE TIME <br /> TIME RECEIVED FOR LAB Y:( GNATURE) DATE TIME REMARKS/COMMENTS: <br /> DIS TION: H E: AC ES SHIPMENT&REIN WITH LAB REPORT. CANARY: LAB COPY,PINK FIELD COPY <br /> 6;S0 J� - �j. 3 <br />