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CHAIN OF CUSTODY RECORD <br /> Pacific Gas & Electric Company <br /> 1 3400 Crow Canyon Road, San Ramon, California 94583 <br /> Attend n: Phone <br /> (510) 820-2000 f, e,r, L 6 Page _1 of <br /> Job Number: Project Name: Project Manager: <br /> Samplers* (Signatures) / Field Team Leader: <br /> tel' <br /> SAMPLE DATE TIME SAMPLE SAMPLE INFORMATION OF REMARKS <br /> NUMBER TYPE CNTRS. <br /> G S VJzU18-J- I 11/8 ljvts � 1 ta�;�s. I, t t <br /> :z 4 Mb,4,L <br /> reskl � <br /> Relinqu h By:(Signature) Date(Time: Raceed B .(Signature) Dle/Time: Ship Via: <br /> � � L <br /> Relinquished By:(S nature) Daterme: ec ed By:(Signature) Date/Time: <br /> BUAirbill Number: Date: <br /> Relinquished By:(Signature) Date/Time: Received By:(Signature) DateMme: <br /> DISTRIBUTION: Original Accompanies Shipment;Canary Copy to PG&E;Pink-Sampler NOTE: Samples are dscarded 30 days after results are reported unless other arrangements are made. 60006997/GI/TI97 <br />