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Environmental Resources <br /> Management CHAIN OF CUSTODY RECORD � 4860 <br /> 1777 Boteiho Drive, Suite 260•Walnut Creek, CA.94596•(925) 946-0455•FAX (925)946-9968 Page L4 of ? <br /> PPr),IFf'.T A i PP0.IFrT NIAMF <br /> MATRIX Htl.lUtj Eu F'f11F{AMr I tFiS <br /> SAMPLER:(PRINT NAME) (SIGNATURE) <br /> rof- <br /> RECEIVING LABORATORY s <br /> pN `1,`C-0i <br /> a m <br /> SAMPLING wz SAMPLING y <br /> SAMPLE I.D. DATE TIME U METHOD 9 VOLUME c7C O <br /> a w <br /> RELINQUISHED BY(SIGNATURE) DATE TIME RECEIVED BY DATE TIME FIELD REMARKS <br /> NUT- C2 Al 4; 5 <br /> c)Ay 7'ANDAQD TA/ r <br /> 1 x,0+J�C'0 <br /> RELINQUISHED BY(SIGNATURE) DATE TIME EIVED BY DATE TIME <br /> �v C 1`3 � zl � ro-AL1 fa <br /> 7V=CbPT ' <br /> IGDATE TIME CEI BY DA E TIM <br /> E REMARKS SEND REPORT TO: <br /> ❑ BOTTLE INTA T ❑ CUSTODY SEALS ❑ CHILLED QfjVC. N�$rv1��1�J <br /> ❑ PRESERVED D SEALS INTACT ❑ SEE REMARKS <br /> VVI,, -L BI-1-11)RY C'nov "NAR`(-nr:1_D CPDv DINIK-DATAR4% GOL. -PROJECT cn F <br />