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I- kA <br /> E <br /> i...J I__}a C-.1 _ --- - --- <br /> I S;raal, Gardner&:Du►tste, Inc. <br /> 4 ! Consulting EnginMs'and Geol4ists °�'• b a` <br /> 12I North fir Strert4Suit4 CHAIN OF CUSTODY RECORD <br /> Veirtr+ra,Galito 9300f -d�QS?.653-5556 + '.9 0 1 <br /> Dat <br /> • ago�pf:,,�` 9'K <br /> CLIENT O d 1r <br /> ADDRESS PROJECT MANAGER , <br /> Gs3 . 5556 . o <br /> 0 { CA PHONE NUMBER <br /> PROJECT NAME 1 R✓U,�n t in I e�e I .n. <br /> ` f SAMPLERS:(ftnaturc) <br /> SAMPLE 1 �jLOCATION SAMPLE TYPE <br /> NUMBER DESCRIPTION DATE TIME WATER ID NO.OF YrrBTS <br /> omp rq CNTNRS REQUIRED <br /> 9 9 0 E-ast WW EkAIAI 1-9- I I . z( <br /> PA tt,4�P 82 60 far <br /> C S Z 990 w � <br /> +9 X <br /> �5 'o W r1 <br /> C_ 90Sm > 1-9--94 <br /> r <br /> 3� � <br /> or <br /> Rallnqulahed by:(Signator Received by(Slgnalure) <br /> i DatelTlme <br /> R Il ulalrotl '-'�4-90 j0Zry <br /> by{Slgnalurej Recalved by.(Signature) <br /> I Data Ima <br /> A ulshed t1y(Slgllalure) Received by Mobile Laboratory for field analysis: <br /> (Signature) Dale Ima <br /> i <br /> Olapatched by:(Signature)• Dete/Time Re eived for Laboratory by: I <br /> co <br /> DalelTlmo f`1 <br /> Method If Shipment: <br /> """""� �`•ev�.� Ort .c.CJZ �� <br /> Spaclal Insirucllons: ?' <br /> if <br /> S <br /> SOURCE:'Adaplad Irom U.S.EPA.1985 <br /> i <br /> i <br /> I <br /> Ell <br />