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r <br /> cou T NQ o387 _ <br /> N <br /> Du Pont Environmental Remediation Services <br /> ` 2192 <br /> CHAIN OF CUSTODY RECORD <br /> 7068 Koll Center Parkway, Suite 401, Pleasanton, California 94566, (415) 462-7772 <br /> Testing Laboratory Phone Number t'�-pa <br /> Address / T <br /> Ci State Zi <br /> PURCHASE ORDER NO <br /> PROJECT NAME: ���14 C_� ANALYSIS <br /> SITE LOCATION: G <br /> JOB NUMBER: <br /> REQUESTOR• Q <br /> SAMPLER'S SIGNATURE. <br /> SAMPLE DATE 77M8 COMP CRAB LOCATIONS NO OF SAMPLE REMAR= <br /> Ilk CONTAINERS 7't'AE <br /> lse <br /> Kr'ot G, <br /> RELINQUISHED BY (Signature) DATJE RECEIVED BY (signature DATE <br /> TIME <br /> R RESENTING REPRESENTING <br /> RELI QUISHED BY (Signqtur DA E R IVED BY (Signature) DAT <br /> IME r��` TIME <br /> REPRESENTING /a :ZQ PRESENTING �..z <br /> RELINQUISHED BY (Signature) DATE V RECEIVED BY (Signature) DATE <br /> J <br /> TIME TIME <br /> REPRESENTING REPRESENTING <br /> METHOD OF SHIPMENT: <br /> VMnF-Return to Client with Report YELLOW laboratoryCopy PINK Onginator'sCopy A_7 <br />