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i <br /> @kARKER 0 <br /> Environmental services CHAIN OF CUSTODY FORM <br /> 4185 Rialto Court <br /> Pittsburg, CA 94565 job. ' 1 3 - / 3 <br /> (510) 439-1024 Client <br /> Fax (510) 439-2566 Location \j �s , <br /> Da to <br /> Sample Type - �Analysis Requested <br /> Number Soil Water Time TPH--t BTEX Oil & Grease 8240 Metals (fist) Other Remarks <br /> 105151 - <br /> e' No 105152 <br /> Nn 105153 <br /> No <br /> 05 i�s <br /> No, 105156 ; <br /> No, 1051 ",'T <br /> a, 1Q51,59 <br /> x,3ti <br /> l �; pRESFR�� <br /> 'FAD SPACE <br /> i Sampler Name (Print) ,�� Pam �� Sampler Signature 106J.-r, <br /> Relinquished By Date and Time Received By Date and Time Sampling Site Sketch <br /> Relinquished Bye Date and Time Received By Date and Time rI S-dr -�` <br /> Relinquished By Date and Time Received By Date and Time <br /> I <br /> Relinquished By Date and Time Received By Date and Time - =- <br /> .8-r � <br />