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CHAIN-OF—CUSTODY RECORD <br /> No, 22273 <br /> INDUSTRIAL COMPLIANCE 9838 OLD PLACERVILLE ROAD, SUITE 100 • SACRAMENTO, CA 95827-3559 • Phone 91.6-36 8971 FAX-916-369-8370 <br /> PROJECT NAME PROJECT LOCATION <br /> ` , AN&YSIS D SIRED n <br /> W E:�O .. AV S,a,V,r\ by \f+- t (INDICATE <br /> PROJ.NO. PROJECT CONTACT PROJECT TE ONE NO. ¢ SEPARATE <br /> 2 CONTAINERS) <br /> CLIENTS REPRESENTATIVE PROJECT MANADERMPERVISOR m <br /> Ii D <br /> z0 , <br /> 6z SAMPLE 3,a m SAMPLE LOCATION i <br /> (INCLUDE <br /> AND DATE TIME POINT OF SAMPLE) _ } <br /> REMARKS <br /> a } 3B~oma �2� I fog X <br /> (2a �-ZO�S t -- <br /> 21 <br /> 31 a .0-'5 12>a --A, <br /> q IL 1%. - <br /> 5 <br /> sjob-off t346 <br /> 6 t l.5 Za <br /> 7 So x <br /> 9 <br /> 10 <br /> REMARKS <br /> ITEM TRANSFERS TRANSFERS <br /> NUMBER RELINOUISHED BY ACCEPTED BY DATE ' TIME <br /> a <br /> z 01Y97 /sm <br /> f ° <br /> SAMPLER'S NAME SAMPLER'S SIGNATURE <br /> 'IAZ i6 <br /> L <br /> � B COPY <br />