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BC LABORATORIES, INC. 4100 Atlas Court ❑ Bakersfield, CA 93308 <br />(661) 327-4911 ❑ FAX (661) 327-1918 <br />Page 1 ofQ Z <br />CHAIN OF CUSTODY <br />Rep®it and B1ll ■ dM 4rf,��y {: Yj t .ry!es <br />Name: Geologic Associates <br />Phone: <br />0 <br />1: <br />vi <br />° <br />z <br />0 <br />AL <br />a' <br />A <br />z <br />.® <br />N <br />o <br />o <br />Cq <br />Address: 16885 W. Bernardo Drive <br />Project: French Camp — Semi <br />Anntial <br />City: San Diego <br />Global ID: <br />State: CA <br />Zip: 92127 <br />Sampler Name: "01 c7 <br />Attn: <br />Lab# <br />Sample Description <br />Date & Time <br />Sampled <br />ivt?' TJ7; <br />-__ OI`- <br />.: <br />SMOO <br />— R <br />1143`7 <br />� <br />� DO <br />1, E;C�U <br />P;P[3A. <br />COT <br />— 1t�c� <br />16 • <br />Bill To: Forward Landfill (republic) <br />=ed b (Signature) 811011-7 <br />/1® /l <br />ceived y: <br />Date & Time <br />9999 S. Austin Road <br />elinquished by: (Signature) <br />Relinquished by: a(Sire) <br />r” <br />Received <br />Receiv d by: <br />Date & Time <br />07 W 35 - <br />011`0/13 <br />Date &Time <br />g� r0 ZZ�v <br />Manteca, CA <br />