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CHAIN OF CUSTODY <br /> 112 0 GEOL A GRO UNDWA TER CONSULTANCY DATE 08/25/04 PAGE 1 of 1 <br /> P O BOX 2165 a W4ft, 06 O(A Sample Source T0607700320 <br /> LIVERMORE, CALIFORNIA 94551-2165 Former Donna Gardner Property <br /> 26056126080 Thornton Road N <br /> SAMPLER Forrest E Lowe Thomton, CA <br /> SAMPLER'S SIGNATURE ANALYTE <br /> m <br /> SAMPLE RECIEPT <br /> TOTAL No of CONTAINERS <br /> CHAIN OF CUSTODY SEALS O W <br /> Z <br /> RECD GOOD CONDITIONICOLD � <br /> u- Z <br /> CONFORIVISTO RECORD t Cr1 <br /> LAB NO F- <N px O <br /> W LL <br /> m W m <br /> b0c 4 U Y <br /> M ca© 2 Z <br /> eMall' h2ogeo[Womcast net 5-Day TAT a- w <br /> SAIAI PLE 10. DATE TIME MATRIX LAB ID: X <br /> 43JDGPIMW-3 08/24/04 ffa:�$ water X 4 <br /> 43JDGPIMW-4 08/24/04 $:jC water X 4 <br /> I <br /> I <br /> RELINQUISHED BY n RELINQUISHED BY <br /> SIGNATURE ` 51GNATt1R <br /> TIME TIME <br /> PRINTED NAME Forrest E Lowe 0'+v PRINTED NAME Gary D Lowe 11 ' 1>0 <br /> H2OGEOL DATE M20CROL DATE <br /> COMPANY A 08/25/04 COMPANY 08/25/04 <br /> RECEIVED BY RECEIVED BY BORATORY <br /> SIGNATURE SIGNATURE <br /> TIME � ( /r / TIME <br /> PRINTED NAME Ga D Lowe PRINTED NAME 1'd Q 6(1 ✓ '-'rbY4 _ f too <br /> M2OGEOL DATE DATE <br /> COMPANY 08/25/04 COMPANY STL San Francisco 08/25/04 <br />