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j <br /> - - <br /> F. <br /> Staal, Gardner & Dunne, Inc. . <br /> I Comulting Engineers and Geologists CHAIN OF CUSTODY RECORD <br /> ^^ � ,221-A(orlh-F.i�-Slrert-5tyifrF-,: r'ri 5 r G j�v�.n � i <br /> [►1 I Ventura. Cudifornia 930171 (805),653 SSSfs_1 Gy0- 7nGo Date_��':I k �!`!•f —Page�ol <br /> `p CLIENT c'_Ia-n(Z 1'UT Pic <br /> PROJECT MANAGER <br /> ADDRESS 5'420 ( f ln, ��•:,�ti C. <br /> •� J�I _yc,.. ,,,-..tic �` . ..�,,.., . ,• j.•-� <br /> PHONE NUMBER r <br /> PROJECT NAME SAMPLERS:(Signaluru),\ I <br /> SAMPLE LOCATION SAMPLE TYPEI <br /> NUMBER DESCRIPTION DATE TIME WATER AIR SLID NO.OF TESTS j <br /> omp, re . CNTNRS REQUIRED <br /> �'�w1 I IMUJ �� L• 1 ��. In L�U I�UrJ V u—'110/ z6c V�'J, <br /> «. !c:%`1;'911 (}',r.0 j. t I w <br /> tit- <br /> 7,12-1 <br /> t <br /> Refin4uished by:(Signature) / Received by:(Signature) ..;• Date/Time <br /> Rel Aqu'shed by:(Signature) / .0 Received by:(Signature) V Dalafrime <br /> Relinquished by:(Signature) Received by Mobile Laboralory for Ii old analysis: pate ime <br /> (Signalute) <br /> Dispatched by.(Signature) Time <br /> Aucolvt d for Laboratory by: Dalo/Timo <br /> Method of Shipment; <br /> i 3 <br /> i <br /> i <br /> Spocial,tnstruclions: <br /> 1 <br /> i <br /> { <br />