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1 � <br /> CHAIN OF CUSTODY REPORT <br /> JOB NUMBER AND NAMES ANALYSIS REQUESTED TURNAROUND TIMEt <br /> REPORT AND BILL TOs <br /> DECON Environmental Services, Inc. <br /> 23490 Connecticut Street Q <br /> Hayward, CA 94545 <br /> (510) 732-6444 Y <br /> SAMPLER s Y DATE: <br /> SAMPLE ID#/ SAMPLE CONTAINERS SAMPLING <br /> STATION DESCRIPTION NUMBER TYPE* TIME/ I IREMARKS <br /> z4oll3 t! l 5 X y 2 Y ke- -,4T <br /> ark ! ! S K 7,Y T4 7— <br /> r+�1 `✓4! / S X Z Y�r -r, T <br /> Aa Z <br /> sIc x LY Ae ?` T <br /> S- L •f �� <br /> S-�ln yc. <br /> S' ovA <br /> Z <br /> Z Cow <br /> 12 <br /> s- <br /> x I yl <br /> RELINQUISHED BYs DATES TIME: RIVED t Laboratory Use Onlvs <br /> �0 /� .. 2-1- f3 <br /> �,' S Were samples s Yes No <br /> RELINQUISHED BYs �I�fr,�( DATES 7 TIME: RECEIVED BYs preserved/on ice? <br /> . in good condition? <br /> RELINQUISHED BYt DATES TIME: RECEIVED IN LAB BYs <br /> labeled? <br /> * G - Grab C - Composite W - Wipe <br />