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CHAIN OF CUSTODY <br /> H20GEOL A GROUNDWATER CONSULTANCY DATE 04/19/05 PAGE 1 of 1 <br /> P O SOX 2165 Sample=T06077007 <br /> LNERMORE CALIFORNIA 94551-2165 Former Danns Gardner Property <br /> 26056/18080 Thornton Road N <br /> Forrest E Lowe Thomton CA <br /> SAMPLERS SIGNATURE' ANAI•Yr <br /> SAMPLE RECIEPT <br /> In a <br /> TOTAL Na of CONTAINERS Ch <br /> CHAIN OF CUSTODY SEALS z <br /> Z <br /> REVD OOOO CONTATIONICOU:Y ' 1 <br /> LL <br /> CONFORMS TO RECORD + Q <br /> CL U <br /> LAB NO % 'R o <br /> w <br /> m $ w m <br /> Z <br /> eMau �M 5-Day TAT g o 0 <br /> i.- w <br /> SAMPLE!D DATE TIME, MAT= LAB1 . I X <br /> wDupnAwa 04119105 1105 water X 1 1 4 <br /> 5?1DGP11 W 4 W19M 1140 water X 1 1 4 <br /> RELINQUISHED 9Y ^ /J RELINQUISHED DAY <br /> SIGNATURE �°�j"T(�- j-L'` SIGNATURE <br /> TIME TIME <br /> PRINTED NAME Forrest E.Lowe d sb PRINTED NAME <br /> 1120CEOL DATE N=OcfoL DATE <br /> COMPANY 04119/05 COMPANY 04119/p5 <br /> RECEIVED BY RECEIVED BYY <br /> SIGNATURE SIGNATURE <br /> TIME TIME <br /> PRINTED NAME PRINTED NAME j <br /> H=UCEOL DATE DATE <br /> pANY 04119/05 PANY STI-San Francisco 04!19105 <br />