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1 p <br /> 2944 a u T N- 1098 <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 />' Testing L.aborato Trace Analysis Laborato Phone Number: (510) 783-6960 <br /> Address 3423 Investment Blvd <br /> Cqy, State zip Hayward, CA 94545 <br /> PURCHASE ORDER NO <br />' PROJECT NAME: 5 Ts c ANALYSIS Sr -;rdw iW fl,&r <br /> SITE LOCATION: 0 xee 4-r 'V <br />' JOB NUMBER: 6 SZZ- - 7 <br /> REQUESTOR: <br />' SAMPLER'S SIGNATURE: <br /> VMPLZ DATE TTMLr hi COMP CrA48 xF} LOCA77ONT a NO OF RlaMi{f�f(Sr o , <br /> ID. COMWAWA$ T Y1 ;s <br /> 1 <br /> 1 <br /> RELINQUISHED BY (Signature) DATE, RE EIVED BY. (Signature) DOI <br /> 11/73 <br />' TIME TI <br /> PRESENTING R RES NTING• t <br />' RELINQUISHED BY (Signature) DATE � RECEIVED BY. (Signature) DATA <br /> KTIME �� ,J� <br /> REPRESENTING (0 R R" ESENTI 7 '4j�v TIME <br /> RELINQUISHED BY (Signature) DATE RECEIVED BY (Signature) DATE <br /> 0 TIME TIME <br /> _.EPRESENTING REPRESENTING <br /> METHOD OF SHIPMENT P W y SQA-e_Y-1 @0 40 min HG,ice,Gy`t ew%, 16 <br />' VAR17M Return to Client with Report YELLOW Laborato=y Copy PINK Onpnator'e Copy A 4 <br />