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GEOCHEM Environmental Laboratories CHAIN OF CUSTODY RECORD <br /> 780 Montague Expressway, Suite 404 <br /> San Jose, CA 95131 Date2 Page of <br /> (408) 955-9988 • FAX (408)955-9538 - <br /> 1 j 0, 7L TESTS REQUIRED <br /> CLIENT E / G PROJECT NAME <br /> fK(' <br /> ADDRESS � <br /> PROJECT ANAGER I <br /> W (AA x N <br /> - LU <br /> PHONE NUMBER m <br /> c i <br /> O '� <br /> MATRIX w <br /> SAMPLE LOCATION NO. OF i o <br /> I.D. DESCRIPTION DATE TIME AIR WATER SOIL CTNR � a aV Q <br /> O <br /> A-D <br /> 7 <br /> 2-3 <br /> SE cm�J <br /> v <br /> Nw cof- L A F <br /> Sampled inquistt key: Received by: Date Time <br /> Relinquished by: � Received by: � Date Time <br /> Relinqui d R iv Date Time <br /> yz��l3 <br /> around ti O&i'e:;:2 Special Instructions: <br /> 24 hr. 48 hr. Normal(30ays) <br />