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IN <br /> IT <br /> i <br /> I <br /> Staal,I,Gardner. & Dunne, Inc. <br /> Consulting Engineers and Geologists <br /> h Fir Street.Shite F. CHAIN OF CUSTODY RECORD Nort <br /> Ventura, California 9 ool (805)553-5556 Dafs '7— �-7/Is9 Pageof <br /> CLIENT �O V� — <br /> _ I _ <br /> ADDRESS Gt.r L PROJECT MANAGEF �� 1 <br /> L G e�� `f1e s <br /> PHONE NUMBER \\ <br /> PROJECT NAME SG� Sob �} 8051 G S 3-S S 516 <br /> a's SBC' SAMPLERS:(SI <br /> g r <br /> So�� Sde�mpliv� <br /> SCl <br /> SAMPLE LOCATION SAMPLE TYPE <br /> NUMBER DESCRIPTION DATE TIµE: WATER AIR SOLID NO. TESTS <br /> Clear Soi I ' (� omp ra CNTNRS REQUIRED <br /> =21 CSP e� h �� F� V 27 89 5 x rum I F;,•crr ,r ►ti`k' <br /> 2�b vl1«ii ij <br /> - 118 ! I ! X ! F�/��4 Ft Y�(/�� l_ <br /> ♦A S-.�d l.J � e ekes l 17UEE <br /> 'Art' <br /> A vl�erpr i,n-f <br /> 1 1= , rc� lend F-uel� s' <br /> i <br /> I tri <br /> RaHn ulshed by(SI atura) <br /> Received by:(S(gnature) Datta/T(mo <br /> Relinquished by.(SlyTnalti(e} 28,8D <br /> Received by:(Signalure) <br /> ' Dat e/f In•�e <br /> Relinquished by:(Slgnalure) Received by Mobile Laboratory for Ra7d analysis: <br /> (Signature) Date ima <br /> Dispatched by:(Slgnatsrra) Dale/Time Received for Laboratory by: DataTTlme <br /> �r t <br /> Method of Shipment: I �� <br /> Spacial Instructions: I <br /> ...� <br /> Ot's <br /> W[�1r u <br /> SO Adaplad from U.SEPA 1985 r J`k <br /> V7777777— <br /> ( rt <br /> .. � �. L �is .'�,.�.Y � 7.._ ^ F <br /> i <br /> 1 <br /> i, <br />