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oUPiT 1991 0326 <br /> Du Pont Environmental Remediation Services <br /> CHAIN OF CUSTODY RECORD <br /> 7468 Koll Center Parkway, Suite 401, Pleasanton, California 94566, (415) 462-7772 <br /> Testing Labora.tofy R&6E Phone Number r-3 — 167, d <br /> Address 3 j <br /> Cqy, State Zip o p - <br /> PURCHASE ORDER NO <br /> PROJECT NAME: D ' d ANALYSIS <br /> SITE LOCATION- 7— e !y <br /> JOB NUMBER. 0 l <br /> REQUESTOR• - <br /> SAMPLER'S SIGNATURE- <br /> SAMPLE LL47E 77ME COMP GRAB LOCATIONS NO OF SAMPLE <br /> AfA $ <br /> IA CONTAINERS 7't PE <br /> 6 fa:3d - l , r <br /> �c !!itis Ott hk <br /> RELINQUISHED BY (Signature) DATE EC IVED BY (Signat re} DA� h2 <br /> TIMEp TIE <br /> NT1 G D P PRESENTING US /� <br /> RELINQUISHED BY (Signature) 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 /> METHOD OF SHIPMENT <br /> W11nT—Return to Client with Report YE[LOW Laboratory Copy PINK.Onginatoes Copy A-3 <br />