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mom M M M M M m r M M M M M �,� M <br /> z� c9 ' <br /> CHAIN OF CUSTODY CONSULTING <br /> International <br /> CONSULTING GEOLOGISTS <br /> �&\_ 38750 Paseo Padre Parkway, Suite 8-4 <br /> Laboratory; C`"- Fremont, California, 94536 <br /> Business: (510) 791-1986 FAX: (510) 791-3306 <br /> 7'�c l r .tom. r7 <br /> 7-1- r f' -r Contact- �[, } ( �-- Sampler: -:T-, 1- L� <br /> of/s!� X�i C 7 < <� - Protect Name• S 'Z7G fq, t-10(iC_V_ No. ?a-0,6 2S <br /> Contact- f ri f _-j Cl"Q fr, r Date: I- Z 1 -r <br /> co-, -( ' tC� .�`' < �-j - Analyses Requested <br /> 1 Oma-+ .a U�Cj.t�... C'c] 1 t=Y%-O, c[',.•Lww..S�r C `ti4 m ,`O O ti'ty rl•�O <br /> a ti <br /> f�rl�l �1'1 �1rol- rc�nr� e ,1�} Ore X00 ��O Q� <br /> Date/Time Matrix Container Q�1G O �Q�` O� /r?� <br /> Sample I.D. Sampled Desc. No, of Type Lab. t Comments <br /> 1J <br /> 2. 7 L uL <br /> 5 - <br /> 3. �- 1< < [ <br /> 4. �_ Z `L �t <br /> 6. 5 li I' 't x <br /> 10 <br /> Relinquished by- Date: Time: Received by; Date: Time: <br /> Relinquished by. Date_ Time_ Received by: Date: Time: <br /> Relinquished by: Date• Time; Received by: Date: Time: <br /> Turnaround Time. <br /> Additional s c r _ R i [� k r[ ✓1 t y��, y r �� <br /> %o m m e n t s: - r i c cr_ 1 ►- �'`" - r` ,� ' Page I of <br />