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CHAIN-OF-CUSTODY RE ' ,WNI P 55majAc7PafSamjpIes) YELLOWCOPY Collector PINKCOPY ProleclM, <br /> d <br /> V • �ry \dry 41h 0`S• •h �* + • (� .y CP z c m <br /> ti eti a \Q 6.0 �� oo ° b a �� G Gbo ro v <br /> Sample <br /> Sample Number Depth Time TypeContainer Type pa°P J°� J°P c,°`� ��'��'P O`�y� ,c�Py\ ti� Q�e QQ��� P� FIELD NOTES f^°- O <br /> dak <br /> u�tcJ —Z r.OS 5-Wo' I -te <br /> A fdfJle. <br /> u}- 3)c V6 A- 3 <br /> MA LJ 40,K ITT <br /> QW <br /> (1J s 3 z / 3 wt 3 <br /> OS�3`� nl� rufl 3r wI-VO4- <br /> C00A CL STO Y U1 S It TA NPI I T <br /> SAMPLERECEIVED IN 0 D C N !TE N TMP RA UR <br /> nn lorlal ^M R km Sal <br /> R I tHED B (Signature) f �TEITIME BY (Signature) LABORATORY NOTES <br /> 0 a <br /> (Signature) AT IME V (S ature) <br /> Clients Name rue ,CCcc. E' <br /> Address /l <br /> City, State, Zip C.7� C� �/(� <br /> Phone Fax- r C <br /> Laboratory Contact JOB NO ��v T ef SHEET—4 OF1 <br /> Fro eA d1�('.: J cZ�l�p�S�O-C ,�' `Ir� 3$7-75x;0 PROJECT <br /> 3700 Lakeville Highway, Petaluma, CA 94954 <br /> P 0 Box 808024, Petaluma, CA 94975-8024 LOCATION zhL5 o, r c4 <br /> - <br /> „� „ Telephone (707) 763-8245 <br /> FAX (707) 763-4065 COLLECTO DATE OF COLLECTION <br /> i <br />