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ARICER 0 <br /> Environmental Services CHAIN OF CUSTODY FO RM <br /> 190 East 7th Street <br /> Pittsburg, CA 94565 _�ltal►�ilent:_CV_5 1 ER COMPANY - <br /> (510) 439-1024 site Nalpe _c�E_�z&f ag l � <br /> Fax (510) 439-2566 L.ocallvw e To- cel_ 00 N . MA IN 5T: Date JV Lel , wl y <br /> Sample Type Analysls noiluesteci <br /> Number Soil Weler Time TPM-g TP)W 131BX U & G 8240 Metals (list) Asbestos Other Remarks <br /> 04 <br /> WIZ x 3I ar <br /> zy h x - <br /> ICU Winiv <br /> MU l � a il rJ�l' Iri <br /> LOUD 5NUM0 ie -OAPPR ) RA1 _ --- --- <br /> -FS ~CQN� <br /> Sampler Name (Prlril) <br /> M A Vq 0 �'✓�_ - Snittpter 511rratirio� <br /> rf' I y at d Time llecely d By. Date and lime Sampling Site Slselcli CoVXT ys <br /> r <br /> I qu hed By D t and Timfl <br /> e ecelveci By, hale acid line / � L I HO A 7 OP KA7j j _ <br /> � 1P, 709• tt 6 $ • 3�f q <br /> flelincliilsliad By Dnte and limn - Iln(ntvnd fly Dain and limf) A MAW / � <br /> Relinquished By, Date and Tana necelved By Diite and lime <br /> ( �1 <br />