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it Mir r r M M r m M r r r r r r <br /> WIN OF CUSTODY RECORTr . <br /> pr,o,ect Na. 8 8 3 z./�. <br /> ! Pro j vc t 11 a. !l 4 e A 9,-c,4 erS ..� la;fA A/ <br /> Richard Brunner <br /> Wire a-d .r_ Affillatton: Leeds hiII-11crkenhoffi—Inc. <br /> SiSnaturel I�- '+iC .i 4"�s(/�s - ' <br /> ShIpM toi Superior Analytical Shipped by: Leedshi_tt—Herkenhoffir Inc-Date Shlpoed: _U j? fe <br /> I's-0 Have <br /> T5�5 Burke St.. Unit 't 333 Second Street, Suite 880 North <br /> . CA 94124 fildress <br /> San Francisco <br /> _ San Francisco, CA 94101 <br /> 415/_647-2081 _ {415) 24_3-99_80 _ <br /> Tele ,ore �Teleahone _ <br /> GSYr�rsi�'•aaaQc�^�.C3ez-.�aeS3aaruSma "3ao6AL app wuaa8aancranc eaaoaR¢auunuaanaaaa�nuoaaounwas=Rasagas Rsieaasa631maasstasRea�ssaaaiasaas"Lstast�tuas+ssassasas <br /> Collector's Sa-ole 5ar�ple 130, of <br /> Sa1�ie t:i, lo:atian Date Tire Type Containers Analyses Reouested �ecarws <br /> R:Ciaa IIlS-1R ss zz2=aaL::7aan4Z::�L�C-Y::a.L�2�- r.--ttxaaL:xx xx;gtxixi _"C-aa"2*93 atxatzsx.aaxxxzcaaxzasxtar¢ sx iza=p <br /> st RsirtRtiiRO <br /> V~r 5- f C M1 tQr1 f A {j1�� M�� / 9U s/5 W tCr two <br /> oYl —�.�..� <br /> w-_----- -----_w._r.-__hw�w.r.-w__..__._.q.w._._ _•__-�_.�r-w...�_rw-..r__ <br /> -- <br /> -rr-_- --- -------•r-------__---w__--•_•__rte-___ ------------------- <br /> ----- - ---__-_---__ <br /> _- _w-------- <br /> ---------- <br /> - <br /> .-_-_ <br /> - -..------- <br /> -- �---_.--_-rr '-_ ---I <br /> w --_-_ ....--�-_ ww«r-.-��_�,w-wr.---_=---__w-..-._--._r_- r.._-__-••--_-Mr.-_.r Mr.rr._--.-r. <br /> -= -------L------- ---:.:--:-- _•«-----•—• •------,-�-.--•_-•.----............. <br /> -----•-----• <br /> 6eli►4uts`,M byi Date/ Ti.e Pe:eived b/: Date/ Tixe Relinquished by: • Date/ Tire Recei%ed by: Date/ Tire <br /> ISig►a�ture p� t g ure?- lSi natarel <br /> 9' �' 9 � lStQnaturel <br /> Pelifq-im"'ed b!: Date! Tire Received by: ate/ Tiae Y- Relirouished b : — ,� — -�— <br /> y Date/ <br /> Ttee Received by. Datel Tile <br /> iSi;nalurel r lSlQraturel � i5ionalurcl ! tSignaturel <br /> PEI Imuishrd bI: Date/ iiae Recelved by: Date/ Tice ' Reiimuished by: Date/ Tice wRecei%rd bv: D.te/ Tile <br /> i5tgr.atvre} lSigroturel I iSicroturel [Signature) r <br />