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❑ F-1 Ll Ll e <br /> P�y�i Ch <br /> CHAIN OF CUSTODY m Page Of o <br /> Lab:_ <br /> sa s W� (0 <br /> ap <br /> -/;ZVUV&t <br /> TAT: ✓`r �� <br /> e ort results <br /> R pto: � �� 7- 6-SName -Philip_McLaughlin_- _ Project Information <br /> Company Bureau Veritas North America, Inc. Project No. 33113-013018.02 <br /> Mailing Address 2430 Camino Ramon#122 Name _ Proposed FedX Facilit <br /> City, State,Zip San Ramon, California 94583 Location Tracy,CA - <br /> Telephone No. (925)498-6512 <br /> Fax No. 925)426-0106 Anal ses Re nested <br /> c� <br /> Special instructions andfor specific regulatory requirements: '�'r m <br /> M 8 7201-49990 Chairs of Custody <br /> LO <br /> CI <br /> 0 <br /> y, 1J c a�G <br /> UJ o <br /> co <br /> 3; is 31 a. Sample Condition/Cort ments y (Dc6 <br /> cc) EL co <br /> ti x <br /> CL 2 <br /> t <br /> 'f <br /> 6V-(-, --3 N 3 0 <br /> 6V-T -' `;_ ' i <br /> Collected by: J i J;1p A4(,L"k(,-1, a Collector's Signature: <br /> Relinquished by: e Zt 1 � Received,by. �� Detemme f ; <br /> Relinquished by: VateMme Received by: Date/Time <br /> Method of Shipment: Sample Condition on Rapt: - -_ -_ -_ ._IL-c— <br />