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Laboratory Shaw Environmental Chain Of Custody Record <br /> CLIENT <br /> \:D DATE \o- <br /> PAGE t of <br /> t <br /> SITE ADDRESS iSt'Vel-0 C11Y1 <br /> Shaw Environmental,Inc <br /> 2880 Zanker Road,Suite 101 <br /> Bill Johnston <br /> 408.945.5200 1078,931 1217 <br /> TURNARGUNID TME tBUSINESS D;, REQUESTED ANALYSIS <br /> 10 DAYS []5 DAYS Houp" 43iCSi,THAN;4 HGUF� <br /> li FIELD NOTES: <br /> SPECIAL INSTRUCTIONS OR NOTES CQntairierlPreservative <br /> o'PID Readings <br /> or <br /> Laboratory Notes <br /> tab SAMPLING NO Or <br /> use 0 MATRix C ON <br /> yield Sample IIIoti n DATE 7IME <br /> ONL Y <br /> X-1 <br /> 10-06-08A11 :00 RCVD <br /> /-O 7' -0 1,//,r)F <br />