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` PARKER <br /> Environmental Services CHAIN OF CUSTODY FORM <br /> 4185 Rialto Court <br /> Pittsburg, CA 94565 <br /> gpN ¢39-1024 client. <br /> ►� Fax (4},,439-2566 LocaWn: Date MiAl <br /> Sample Type Armlyw Requostied <br /> Numbor Sod Water Time TPH BTEX Oji &Grease 8240 Metals ffikq Other Pmrartcs <br /> w� <br /> r'ui- 3 "ate ✓ %/ <br /> m <br /> w <br /> a <br /> Sampler Name iPdnq 10\ P Sampler ftimftire <br /> F�ImQu By: Date and Tim Recehad Data and Time Sampfi Sibs Sketch <br /> hnmb Aamd 91a, ci j ia., <br /> kvUa Time ed 8y: Daw and Time <br /> . -prAMj q/2a 14:1 q1�310,15 <br /> Rah By- Date and Time Date imo <br /> X31: <br /> RehnquzW B)r Date and Time Revalued I Daae and Time <br />