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s • s <br /> 8 37-3 <br /> CHAIN OF CUSTODY <br /> H20GEOL A GROUNDWATER CONSULTANCY DATE 0528104 PAGE 1 of 1 <br /> P O BOX 2165 Sample Source 70607700320 <br /> LIVERMORE CALIFORNIA 94551-2155 Former Donna Gardner Property <br /> 2805626060 Thornton Road N <br /> SAMPLER Forrest E Lowe Thornton CA <br /> SAMPLER'S SIGNATUR —L- ANALYTE <br /> SAMPLE RECIEPT <br /> u <br /> TOTAL Na o1 COHTAINER9 <br /> CHAIN OF CUSTODY SEALS WZ <br /> RECDGOODCONDITIOIACOLD uc- N a <br /> LL L Z <br /> CONFORMS10 RECORD + O <br /> Q X+ O <br /> LL <br /> LAB I40 N 0 <br /> W LL <br /> m W m <br /> 0. <br /> m Z <br /> email h2oged@corncast.net 5-Day SAT � o <br /> W <br /> SAMPLE W DATE TIME MATRIX LAB ID x <br /> 421DGPAm-3 05/27104 10-25 water x 4 <br /> 420GP7MW-4 0527104 i0 55 water x 4 <br /> RELINQUISHED BY RELWQUISHED <br /> SIGNATURE SIGNATURE <br /> TUAE TIME <br /> PRINTEDNAME FOrrestE Lowe PRINTED NAME (�� r11 <br /> 112OOEOL DATE K,0cx0L DATE <br /> COMPANY 0527104 comPANY 0526104 <br /> RICE eY -r RECEIVED BY TORY <br /> 10 <br /> SIGNATURE /� / SIGNATURE ✓`. <br /> TIME <br /> PRINTED NAME (� J's PRINTED NAME �f fdLZY✓r r7�7DiI //�]' <br /> NpOGEOL DATE J DATE <br /> COMPANY 0527104 cDMPANY STL San Francisca 0526104 <br />