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3294 IT:) ��3 134 <br /> i cou <br /> Du Pont Environmental Remediation Services <br /> CHAIN-OF-CUSTODY RECORD <br />' 7068 Koll Center Parkway, Suite 401 , Pleasanton, California 94566, (510) 462-7772 <br />' <br /> Testing Laborato Trace Anal 515 Laboratory Phone Number (510) 783-6960 <br /> Address 3423 Investment Blvd <br /> City, State, ZIP Hayward, CA 94545 <br /> PURCHASE ORDER NO <br />' PROJECT NAME i c' < I E-4' ANALYSIS <br /> SITE LOCATION <br /> JOB NUMBER <br />' REQUESTOR <br /> SAMPLER'S SIGNATURE. <br /> �4 <br />' SIMPLE DATE 77ME COMP GRAB LOCATIONS NO OF SAMPLE REMARKS <br /> ID CONTAINERS TYPE t <br /> (`5 <br /> ly <br /> P, <br />' RELINQUISHED BY (Signaturc) DATE RECEIVED BY (Signature) D TE <br /> TIME mit TIME <br />' REPRESENTING ,', - � V y REPRESENTING L I y <br /> RELINQUISHED BY (Signature) DATE RECEIVED BY (Stgnaturc.) DATE <br />' REPRESENTING TIME REPRESENTING TIME <br /> RELINQUISHED BY (Signature) DATE RECEIVED BY (Signature) DATE <br /> TIME TIME <br /> 6REPRESENTING REPRESENTING <br /> METHOD OFSHIPMENT 3a il_ <br /> WI irri- Rct in to(Bent with Rcport YLI I OW lahora ory Copy PINK Originator c(opy <br /> i <br />