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3139 cou PDUT 1103 <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 /> Testinp, Laboratou Trace Analysis Laboratory Phone Number (510) 783-6960 <br />' Address 3423 Investment Blvd <br /> City, State Zip Ha wart! CA 94545 <br /> PURCHASE ORDER NO <br /> PROJECT NAME S ANALYSIS <br /> SITE LOCATION STa CA:=N <br /> JOB NUMBER —92q <br />' REQUESTOR C <br /> SAMPLER'S SIGNATURE It <br />' SAMPLE DATE 77ME COMP GRAB LOCATIONS NO OF MMPLE RFMARKS <br /> ID CONTAINERS 77PE <br /> 1 <br /> 1 <br /> RELINQUISHED BY St nature DATE RECEIVED BY (Signature) DATE <br /> TIME TIME <br /> REPRESENTING REPRESENTING <br /> RELINQUISHED BY (Signature) DATE RECEIVED BY (Signature) DATE <br />' TIME TIME <br /> REPRESENTING REPRESENTING <br /> RELINQUISHED BY (Signature) DATE CEIVED BY (Signature) D <br /> �Z� <br /> �TIME �` TI <br /> REPRESENTING EPRE�EWL <br />' METHOD OF SHIPMENT PI L-k \I i por I be r, o S—F-5 10 0c . 7A- ' <br /> Wfln'L Return to Client with Refxirt YCIAOW I,aboratoryCopy PINK OrigmatorsCopy <br /> 1 <br />