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I <br /> A 2581 <br /> QU T N� 086 <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 /> Testmg Laboratory Phone Number .3-- <br /> Address -3 02,3 <br /> City,State Zi <br /> PURCHASE ORDER NO <br /> PROJECT NAME: r-©'-v4 C 0 ANALYSIS <br /> SITE LOCATION: D <br /> JOB NUMBER. <br /> REQUESTOR: e <br /> r <br /> SAMPLER'S SIGNATURE: <br /> S"PLE DW TE "ME Conn GRAD LOCeIrroNS NO Ox PLE � t�nuRxs <br /> ID CONTAINERS ME <br /> RELINQUISHED BY (Signature) DAT RECEI ED BY (Signature) DATE <br /> 1 7 7Z <br /> TIME TI <br /> REPRESENTINGU ' o CJ RE P R NTING 50W.h <br /> RELI QUISHED BY (Signature) DATE REC VED BY (Signature) '� �-- DATE <br /> q /0 A& <br /> �— . <br /> TIME E <br /> f <br /> PRESENTING �f REPRESENTING <br /> RELINQUISHED BY (Signature) DATE RECEIVED BY (Signature) DATE <br /> TIME TIME <br /> REPRESENTING REPRESENTING <br /> METHOD OF SHIPMENT oO/r,L. a t;,, J �.��'"` J Ss <br /> WHrM Return to Client with Report YELLOW LaboratoryCopy PINK Onginatvor'ssCopy <br /> A-2 <br />