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Is <br /> ARKER CHAIN OF ' <br /> Environmental Services CJSTODYFORM <br /> 4185 Rialto Court <br /> Pittsburg, CA 94565 ��, �IlSrit•L U� � S j 6a� �# <br /> (510) 439.1024 StMame I I L J nrJ'j^ �fI - AFC ._._ <br /> Fax (510) 439-2566 Location: r41 r� r- Date -z 3 - 93 <br /> sample Type Analysis Requested <br /> Number Soil Water Time TPH-g TPH-d BTEX O & G 8240 Metals (list) Other Remark <br /> E 7-2 X <br /> f <br /> (1j It'l 40 X <br /> M11I X, ( 00� . <br /> VO 0&G Mj 1U <br /> GOOD A ERVA <br /> IA <br /> Sampler Name (Print) Sampler Signature <br /> �R t • Date and Time Received By ate and-nmp_ Sampling Site Sketch <br /> Ae rnquished B Date and Time Recelved By Date and Time NP t t 7_ <br /> Relinquished By. Date and Time Received By Date and Time n it n <br /> Relinquished By: Date and Time Received By: Date and Time N <br /> r�. L <br />