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zwb = <br /> Tma"EMlo CHAT OF CUSTODY RECORD Page of <br /> Environmental and Geotechnical Consultant 555 Montgomery Street,Suite 1300,San Francisca,CA 94111 Ph 415-95"0401 Fax 415-955-9041 <br /> 2 Theatre Square,Suite 216,O�rinda CA 94583 Ph 925-253-49801 Fax 925-253-4985 <br /> d i <br /> 501 14th Street,3rd Floor,Oakland,CA 94612 Ph 510.9744500/Fax 510.874-4507 <br /> Site Name 6V- � 6i� <br /> Job Number <br /> �AnalysisRequested� <br /> Project ManageAContact <br /> i <br /> Samplers <br /> Recorder(Signature Regwre 1) Q <br /> Containers <br /> ro <br /> Matrix &Preservative -a <br /> _Field SaE p ISM SF <br /> NPA <br /> � a� a`� � h w <br /> m lei m Q7 c <br /> Identification No ;.° Date zxTime E Lah Sample No j` , k s° WRIZ15 <br /> rnarks <br /> NO -10- 6b7:) <br /> I(o - 13.5 <br /> 6 , <br /> s a4 Aa-vz;> f t I lIi fDA L� <br /> 510 <br /> -A -5 i 2U2 <br /> e 11--15 5 ll oz? <br /> $R-ll ISS )12DI 05 <br /> 8 3i rip <br /> '✓��1 f rV420� i �I E <br /> 2 -rAODA2—p <br /> I S-PsrJ VIA-9-P 7AT <br /> Rehshed (r g a Date Time Rece ' byI(Signature) Date Time <br /> 20Ld , 3 rr-��'� 1 ?� / <br /> Rei quashed b (Signature) Date Time Received by (Signature) Daie Time <br /> Time Receved by Lab (Signature) Dale Time <br /> Relinquished by (Signature) D to <br /> Sent to Laboratory(Dame) Method of Shipment Lab courier Fed Ex []Airborne E]uPS <br /> Laboratory Comments/Notes <br /> 0Hand Camed1:1Pnvate Couner(Co Name) <br /> � t} <br /> White Copy-Original Yellow Copy-Laboratory I Pink Copy-Field COC Number 002795 <br /> I <br /> l f <br />