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COU:P 0T 2,426 NQ 0769 <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 Laborato[y Phone Number <br /> Address <br /> - Ci , State -ZI <br /> PURCHASE ORDER NO <br /> PROJECT NAME: _Co 9 9 C d ANALYSIS <br /> SITE LOCATION: 7—/ G <br /> JOB NUMBER. <br /> REQUESTOR• E <br /> SAMPLER'S SIGNATURE: <br /> $"PLE DATE 17ML COMP GRAB LOCA' WW NO Or SIWPLE REMARKS <br /> I At CONTAINERS TYPE <br /> A <br /> $ 0 <br /> RELINQUIS ED BY (Sig [ure) DATE BY (Signature) DATE <br /> PIE TIME <br /> NREESENTI REPRESENTING <br /> RELINQUISHED BY (Siggature) DATE RECEIVED BY (Signature) DAT <br /> TIME TIME <br /> REPRESENTING I I ', REPRESENTING VL� /(-- OS` <br /> RELINQUISHED BY (Signature) DATE RECEIVED BY (Signature) DATE <br /> TIME TIME <br /> REPRESENTING REPRESENTING <br /> METHOD OF SHIPMENT <br /> WAT-7 Return to Client with Report YLL OW LaboratoryCopy PINK.Onginator's Copy A-4 <br />