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C1•4ompllance <br /> Closure, Inc. CHAIN OF CUSTODY RECORD AND ANALYSIS REQUEST <br /> PROJECT NO I PROJECT NAME/SITE <br /> Qui k- �.l� /1 ANALYSIS REOUESTED PO R <br /> /.Z /��rs ,yew k,4 CA <br /> SAMP RSiGN / z <br /> A -1--Ld-9 (PRINT) y z o`� o h� ,���' 4'C <br /> 40 <br /> O w �� o ao N p <br /> SAMPLE IDENTIFICATION DATE TIME O PRES n O <br /> (7 USED U Z m f.Q tiQ �.� goo �`y �o`I' ,(�,? REMARKS <br /> XjAj X a ©D <br /> 694 2- <br /> 14 <br /> N,- 7- «� a) ,0o <br /> w_ 7- D� <br /> _20 7L <br /> RELIN (SHED BY DATE TIME RECEIVEBY LABORATORY PLEASE SEND RESULTS TO <br /> / C7 Fki kc,i. A.J,4 he sL =-A.)C <br /> RELINQUIS ED BY DAT(- 'GIME RECEIVED BY 5 4ti+,4 C1rM-,4, 64 Compliance & Closure, Inc <br /> 7020 Koll Center Pkwy <br /> Suite 134 <br /> RELINQUISHED BY DATE TIME RECEIVED BY RCQUCSTEDfTURNAROUN <br /> 17 Pleasanton, CA 94566-3107 <br /> (925) - 426-5395 <br /> RELINQUISHED BY DAI I TIM[ III CLIVED 13Y LA1J0fIAI0IIY RI C[IPT CONDITION PROJLCT MANAGER <br /> Attn Mr Gary Mulkey <br />