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w■ � �■ � w � ■■� w � w ■� w ■w w■ w w■ ■� w ww <br /> GEOCHEM Environmental Laboratories CHAIN OF CUSTODY RECORD <br /> 780 Montague Expressway, Suite 404 Z, <br /> San Jose, CA 95131 Date / Page of <br /> (408)955-9988 - FAX(408) 955-9538 / <br /> ;�� —60,31 TESTS REQUIRED <br /> CLIE T PROJECT NAM <br /> J4 Tl? <br /> Hc- flls <br /> Tic <br /> AD E 5 r PR JECT NA ER <br /> m � LU <br /> X <br /> PHONE NUMBER T <br /> W0 <br /> SAMPLE LOCATION MATR IX NO. OF u7 LO o s <br /> I.D. DESCRIPTION DATE TIME AIR WATER SOIL CTNR C) C) CC)� Q <br /> G 1 s`p `t�z319 �i�C� S <br /> a- G <br /> // /Z <br /> 4- <br /> n �O /A& �✓c- <br /> Sampled/Re inquishw W. Received by, Date Time <br /> z3 - 3 <br /> Relin 'wished b : Received by: a <br /> s-53 Date Time <br /> Re nq " dd Date ceiveTime <br /> lf- Zfo�l3 /D Z v <br /> T round tim Special Instructions: <br /> 24 hr. 48 hr. Normal(3Slays) <br />